Provider Demographics
NPI:1003219353
Name:TRANQUIL HOME CARE LLC
Entity Type:Organization
Organization Name:TRANQUIL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GITANGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-996-4890
Mailing Address - Street 1:3326 QUICK WATER LNDG NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-2389
Mailing Address - Country:US
Mailing Address - Phone:978-996-4890
Mailing Address - Fax:
Practice Address - Street 1:3326 QUICK WATER LNDG NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-2389
Practice Address - Country:US
Practice Address - Phone:978-996-4890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care