Provider Demographics
NPI:1942491964
Name:TRANQUIL BLESSINGS HOSPICE, INC.
Entity Type:Organization
Organization Name:TRANQUIL BLESSINGS HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:THRESA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-966-0703
Mailing Address - Street 1:204 BRIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-5439
Mailing Address - Country:US
Mailing Address - Phone:601-966-0703
Mailing Address - Fax:601-925-4209
Practice Address - Street 1:204 BRIGHTON DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5439
Practice Address - Country:US
Practice Address - Phone:601-966-0703
Practice Address - Fax:601-925-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS251614Medicare Oscar/Certification
251614Medicare Oscar/Certification