Provider Demographics
NPI:1326653973
Name:TRANQUILITY HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:TRANQUILITY HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DEWBRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-534-0716
Mailing Address - Street 1:9515 INDIANAPOLIS BLVD STE 6F
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2643
Mailing Address - Country:US
Mailing Address - Phone:279-501-8770
Mailing Address - Fax:219-237-9018
Practice Address - Street 1:15255 S 94TH AVE STE 535
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3800
Practice Address - Country:US
Practice Address - Phone:219-501-8770
Practice Address - Fax:219-237-9018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based