Provider Demographics
NPI:1538940507
Name:EMBRACING TRANQUILITY HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:EMBRACING TRANQUILITY HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYEASIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS CCS
Authorized Official - Phone:252-397-8603
Mailing Address - Street 1:2054 FISHPOND RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8852
Mailing Address - Country:US
Mailing Address - Phone:252-814-5095
Mailing Address - Fax:
Practice Address - Street 1:105 NORTH 1ST ST, PINETOPS, NC, 27864
Practice Address - Street 2:
Practice Address - City:PINETOPS
Practice Address - State:NC
Practice Address - Zip Code:27864
Practice Address - Country:US
Practice Address - Phone:252-220-9245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health