TRANQUILITY MANOR ESTATES NPI 1164788071

NPI Information

NPI: 1164788071
Provider Name: TRANQUILITY MANOR ESTATES
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1950 HEMMER ROAD
PALMER, AK
ZIP 99645
Phone: (907) 745-2012
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TRANQUILITY MANOR ESTATES is an assisted living facility in Palmer, AK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. TRANQUILITY MANOR ESTATES NPI is 1164788071. The provider is registered as an organization entity type.

The provider's business location address is:

1950 HEMMER ROAD
PALMER, AK
ZIP 99645
Phone: (907) 745-2012

The provider's authorized official is Bruce Korman .
The authorized official title is Officer and has the following contact phone number (907) 746-4220.

The enumeration date for this NPI number is 4/4/2012 and was last updated on 4/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	310400000X	Assisted Living Facility	100954	ALASKA	No
2	310400000X	Assisted Living Facility	100719	ALASKA	No
3	310400000X	Assisted Living Facility	267	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RL4310	MEDICAID	ALASKA
2	RL4070	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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