MEDICARE: TRANQUILITYVILLA 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	310400000X	Assisted Living Facility	AL12097	FL

General Provider Information

NPI Number	:	1992143200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUILITYVILLA INC

Provider Business Mailing Address
First Line	:	9637 APACHE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-1735
Country	:	US
Telephone Number	:	561-784-5837
Fax Number	:	561-318-5001

Provider Business Practice Location Address
First Line	:	9637 APACHE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-1735
Country	:	US
Telephone Number	:	561-784-5837
Fax Number	:	561-318-5001

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KEITH D HALL
Credential	:
Telephone Number	:	561-784-5837

Provider Enumeration Date	:	06/08/2013
Last Update Date	:	06/08/2013

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1992013031 — DR. LOUISE MARY BENVENUTO M.D.
Practice Location Address:

128 VIZCAYA ESTATES DR
PALM BEACH GARDENS, FL
33418-1735

Practice Phone: 561-214-1462
Practice Fax: 561-626-0446

1902108988 — FIVE STAR LLC
Practice Location Address:

3297 ROXMERE DR
PALM HARBOR, FL
34685-1735

Practice Phone: 727-278-9265
Practice Fax:

1194753640 — WORLD CLASS MEDICAL IMAGING
Practice Location Address:

1735 WEST MAIN STREET
TROY, OH
45373-2301

Practice Phone: 937-339-4800
Practice Fax: 937-440-0974

1134143340 — DR. BRIAN BERNARD JACOBUS DDS, MS, PA
Practice Location Address:

1100 SW SAINT LUCIE WEST BLVD STE 207
PORT ST LUCIE, FL
34986-1735

Practice Phone: 772-340-0023
Practice Fax: 772-340-0840

1386659712 — DAVID P. VIOLETTE, D.D.S., P.C.
Practice Location Address:

34 N MAIN ST
WEST BRIDGEWATER, MA
02379-1735

Practice Phone: 508-583-5338
Practice Fax: 508-583-1398

Directions to “TRANQUILITYVILLA INC ” 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.