Provider Demographics
NPI:1023575842
Name:TRANQUIL HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:TRANQUIL HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISIAH
Authorized Official - Middle Name:X
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-843-6420
Mailing Address - Street 1:86 KNIGHTS BRIDGE DR N
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9597
Mailing Address - Country:US
Mailing Address - Phone:614-843-6420
Mailing Address - Fax:614-920-0071
Practice Address - Street 1:86 KNIGHTS BRIDGE DR N
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9597
Practice Address - Country:US
Practice Address - Phone:614-843-6420
Practice Address - Fax:614-920-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH201904000518OtherSTATE OF OHIO