Provider Demographics
NPI:1487657540
Name:TRANQUILITY HOME CARE, INC
Entity Type:Organization
Organization Name:TRANQUILITY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSOCIATE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:ALBERTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:210-967-0100
Mailing Address - Street 1:4231 GATE CRST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4807
Mailing Address - Country:US
Mailing Address - Phone:210-967-0100
Mailing Address - Fax:210-967-0118
Practice Address - Street 1:4231 GATE CRST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4807
Practice Address - Country:US
Practice Address - Phone:210-967-0100
Practice Address - Fax:210-967-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008068251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019210-0001OtherSECURE HORIZONS PROVIDER
TX7504380OtherAETNA PPO PROVIDER NUMBER
TX019210-0001OtherPACIFICARE PROVIDER NUMBE
TX2964632OtherAETNA HMO PROVIDER NUMBER
TXHH309HOtherBCBS PROVIDER NUMBER
TX019210-0001OtherSECURE HORIZONS PROVIDER
TX019210-0001OtherPACIFICARE PROVIDER NUMBE
TXHH309HOtherBCBS PROVIDER NUMBER
TX=========OtherHUMANA MILITARY PROVIDER