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NPI 1487657540

NPI 1487657540 : TRANQUILITY HOME CARE, INC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1487657540
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANQUILITY HOME CARE, INC 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    4231 GATE CRST 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78217-4807
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    Country              |    US
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    Telephone            |    210-967-0100
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    Fax                  |    210-967-0118
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Provider Business Mailing Address
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    Address Line         |    4231 GATE CRST 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78217-4807
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    Country              |    US
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    Telephone            |    210-967-0100
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    Fax                  |    210-967-0118
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Authorized Official
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    Title or Position    |    ADMINISTRATIVE ASSOCIATE
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    Name                 |    MRS. PAULA JEANETTE ALBERTHAL 
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    Credential           |    L.V.N.
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    Telephone            |    210-967-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    008068
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    License Number State |    TX
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