Provider Demographics
NPI:1013384411
Name:TRANQUILITY CARE, INC.
Entity Type:Organization
Organization Name:TRANQUILITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-422-8480
Mailing Address - Street 1:1812 CRATER ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-3125
Mailing Address - Country:US
Mailing Address - Phone:805-422-8480
Mailing Address - Fax:805-422-8524
Practice Address - Street 1:1812 CRATER ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3125
Practice Address - Country:US
Practice Address - Phone:805-422-8480
Practice Address - Fax:805-422-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility