MEDICARE: TRANQUILITY PALLIATIVE AND HOSPICE CARE 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	:	1699353292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUILITY PALLIATIVE AND HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	9727 MCKINNEY LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6344
Country	:	US
Telephone Number	:	409-350-8167
Fax Number	:	713-583-1107

Provider Business Practice Location Address
First Line	:	9727 MCKINNEY LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6344
Country	:	US
Telephone Number	:	409-350-8167
Fax Number	:	713-583-1107

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DELPHINA C MITIMA-SAMUEL
Credential	:	PHARMD
Telephone Number	:	409-350-8167

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	04/04/2021

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