TRANQUILITY WOODS LLC (NPI# 1750798245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750798245 |
| Entity Type | Organization |
| Organization Name | TRANQUILITY WOODS LLC |
| Practice Address |
171a Ryan Rd Pasadena MD 21122-4541 |
| Mailing Address |
171a Ryan Road Passadena MD 21122 |
| Practice Telephone | 4103606600 |
| Mailing Telephone | 4438220564 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | DR. PHILIP PHILBIN (PRESIDENT) |
| Authorized Official Telephone | 4438220564 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
171A RYAN RD |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174033302 | George Michael Forsythe | Counselor | 171a Ryan Rd, Pasadena, MD 21122-4541 | 2017-10-02 |
| 1699285825 | Luke Deboy | Counselor | 171a Ryan Rd, Pasadena, MD 21122-4541 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432636 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8001 Leeland Dr, Pasadena, MD 21122-2495 | 2020-03-13 |
| 1154964880 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003a Leeland Dr, Pasadena, MD 21122-2495 | 2019-10-25 |
| 1326694134 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003 Leeland Dr, Pasadena, MD 21122-2495 | 2019-08-16 |
| 1609305069 | Opportunity Ministries, Inc. | Substance Abuse Rehabilitation Facility | 212 Sillery Bay Road, Pasadena, MD 21122-5946 | 2017-06-08 |
| 1225566847 | Taj Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 979 E Washington Blvd, Pasadena, CA 91104-2439 | 2017-05-25 |
| 1750821773 | I Am Treatment Sanctuaries, Inc. | Substance Abuse Rehabilitation Facility | 651 Castano Ave, Pasadena, CA 91107-2703 | 2017-02-24 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1841635737 | Houston Substance Abuse Clinic @ Pasadena, Inc. | Substance Abuse Rehabilitation Facility | 5825 Spencer Hwy, Pasadena, TX 77087 | 2013-05-06 |
| 1235472721 | Elijah's House Tx Corp | Substance Abuse Rehabilitation Facility | 1617 Asbury Dr, Pasadena, CA 91104-3113 | 2013-04-03 |
| 1962542274 | Principles Inc | Substance Abuse Rehabilitation Facility | 1680 N Fair Oaks Ave, Pasadena, CA 91103-1642 | 2007-02-07 |
| Find all providers in PASADENA | ||||
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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.