TRANQUILITY MANOR INC (NPI# 1366546962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366546962 |
| Entity Type | Organization |
| Organization Name | TRANQUILITY MANOR INC |
| Practice Address |
902 Horne Ave Portsmouth VA 23701-3910 |
| Practice Telephone | 7575580339 |
| Practice Fax Number | 7575580377 |
| Mailing Telephone | 7575580339 |
| Mailing Fax Number | 7575580377 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. PAUL JEROME BATTLE SR. (PROGRAM MANAGER) |
| Authorized Official Telephone | 7574128862 |
| Authorized Official Credential | BS/QMRP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38601001 | VA | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | TRANQUILITY MANOR INC. | 4201 Portsmouth Blvd, Portsmouth, Virginia 23701 |
| Street Address |
902 HORNE AVE |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23701-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in zip 23701 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281808 | Romco Enterprises, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3409 Scott St, Portsmouth, VA 23707-4001 | 2020-10-01 |
| 1609344803 | Aem Love LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 124 Gillis Rd, Portsmouth, VA 23702 | 2018-11-06 |
| 1093110439 | Fannie's Divine Miracles,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Holladay St, Portsmouth, VA 23704-2232 | 2014-10-28 |
| 1104268507 | Rehab Management Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4413 Rivermill Ct, Portsmouth, VA 23703-1573 | 2013-07-25 |
| 1023452976 | Everyday Angels LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3617 Turnpike Rd, Portsmouth, VA 23707-4553 | 2013-04-23 |
| 1144526955 | Quality Living of Hampton Roads,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1109 Freedom Ave, Portsmouth, VA 23701-3219 | 2011-01-27 |
| 1598971079 | Total Care Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5132 Crabtree Pl, Portsmouth, VA 23703-3447 | 2007-05-14 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| 1912029430 | Looking Upwards, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 81 Willow Ln, Portsmouth, RI 02871-1611 | 2007-04-04 |
| 1376664987 | Looking Upwards, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 95 Linda Ter, Portsmouth, RI 02871-3603 | 2007-04-02 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.