Provider Demographics
NPI:1902504509
Name:TRANQUILITY CARE LLC
Entity Type:Organization
Organization Name:TRANQUILITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE TEAM LEADER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:KOFI
Authorized Official - Last Name:AMPONSA DADZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-732-4541
Mailing Address - Street 1:2002 W TANNER RANCH RD
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-4799
Mailing Address - Country:US
Mailing Address - Phone:602-774-4892
Mailing Address - Fax:
Practice Address - Street 1:2002 W TANNER RANCH RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85142-4799
Practice Address - Country:US
Practice Address - Phone:602-774-4892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care