Provider Demographics
NPI:1124835145
Name:HANDS OF TRANQUILITY INC
Entity type:Organization
Organization Name:HANDS OF TRANQUILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:240-417-8186
Mailing Address - Street 1:7805 CASTLE ROCK DR STE LB
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1874
Mailing Address - Country:US
Mailing Address - Phone:240-417-8186
Mailing Address - Fax:
Practice Address - Street 1:7805 CASTLE ROCK DR STE LB
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1874
Practice Address - Country:US
Practice Address - Phone:240-417-8186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDS OF TRANQUILITY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty