Provider Demographics
NPI:1407503147
Name:TRANQUILITY HOSPICE CORP
Entity Type:Organization
Organization Name:TRANQUILITY HOSPICE CORP
Other - Org Name:TRANQUILITY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:323-423-9950
Mailing Address - Street 1:8589 SILVER COAST ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6799
Mailing Address - Country:US
Mailing Address - Phone:213-590-4690
Mailing Address - Fax:702-965-2987
Practice Address - Street 1:3111 S VALLEY VIEW BLVD STE B218
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7713
Practice Address - Country:US
Practice Address - Phone:323-423-9950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty