MEDICARE: TRANQUIL HOSPICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1316401151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL HOSPICE, INC.

Provider Business Mailing Address
First Line	:	7341 FOOTHILL BLVD # 202
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2720
Country	:	US
Telephone Number	:	818-934-7755
Fax Number	:	818-553-8118

Provider Business Practice Location Address
First Line	:	415 E HARVARD ST STE 101C
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1045
Country	:	US
Telephone Number	:	818-934-7755
Fax Number	:	818-553-8118

Authorized Official
Title or Position	:	CEO
Name	:	MR. HAMLET HAROUTUNIAN
Credential	:
Telephone Number	:	818-934-7755

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	02/27/2024

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