National Provider Identifier Database

TRANQUILITY MANOR ESTATES
Assisted Living Facility

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.


Contact Information

TRANQUILITY MANOR ESTATES
1950 HEMMER ROAD
PALMER, AK99645
Phone: 907-745-2012
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for TRANQUILITY MANOR ESTATES

NPI Number 1164788071
Legal business name
LBN
TRANQUILITY MANOR ESTATES
Authorized official BRUCE KORMAN - (OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/04/2012
Last updated 04/04/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 100719
  • AK License #: 100954
  • AK License #: 267
  • AK Medicaid: RL4070
  • AK Medicaid: RL4310

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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