MEDICARE: TRANQUIL SAND

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1952231813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL SAND

Provider Business Mailing Address
First Line	:	1900 WESTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4606
Country	:	US
Telephone Number	:	702-825-4663
Fax Number	:

Provider Business Practice Location Address
First Line	:	7293 OLSEN FARM ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-0124
Country	:	US
Telephone Number	:	702-673-6014
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEREK MOELLINGER
Credential	:
Telephone Number	:	702-673-6014

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

Similar Medicare Providers

1427383470 — MS. VILASAVATHI VENKATACHALAM MS, RDN
Practice Location Address:

2132 DESERT PEAK RD
LAS VEGAS, NV
89134-0124

Practice Phone: 908-358-3908
Practice Fax:

1265729099 — MISS KARA NOREEN WATTOO EDS MFT RPT
Practice Location Address:

8431 CARMEL RIDGE CT
LAS VEGAS, NV
89113-0124

Practice Phone: 702-279-1595
Practice Fax:

1427213883 — PABLO DE LA CERDA PEREZ M.D.
Practice Location Address:

LAS PALMERAS N45-74 Y LAS ORQUIDEAS
QUITO, PICHINCHA
EC 17-0124

Practice Phone: 593999924048
Practice Fax:

1699599415 — DR. OLUWAGBEMILEKE AYODEJI ADEDOTUN DNP, APRN, PMHNP-BC
Practice Location Address:

6628 SKY POINTE DR
LAS VEGAS, NV
89131-4070

Practice Phone: 702-602-7626
Practice Fax: 949-627-8559

1235340464 — DR. DAVID DEERING M.F.T.
Practice Location Address:

7488 GRASSY FIELD CT
LAS VEGAS, NV
89131-4116

Practice Phone: 702-363-1095
Practice Fax:

1386573830 — IMAGINE COMPANIONS
Practice Location Address:

8212 CALICO WIND ST
LAS VEGAS, NV
89131-5508

Practice Phone: 702-682-1383
Practice Fax: 702-682-1383

Directions to “TRANQUIL SAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.