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TRANQUILLITY AT FREDERICKTOWNE
NPI 1033481072
Assisted Living Facility in Frederick, MD

Active since February 07, 2012CLIA 21D2043372 · Waiver
6441 JEFFERSON PIKE, FREDERICK, MD 21703(301) 668-6030(301) 668-6034 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tranquillity At Fredericktowne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANQUILLITY AT FREDERICKTOWNE (NPI 1033481072) is a healthcare organization registered as an assisted living facility in Frederick, Maryland and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Jenny H. Tobery, Hr/finance Manager, as its authorized official.

NPPES Registry Identity

NPI1033481072
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTRANQUILLITY AT FREDERICKTOWNE
Location Address6441 JEFFERSON PIKEFrederick, MD 21703-7039
Mailing Address6441 Jefferson PikeFrederick, MD 21703-7039 · (301) 668-6030 · Fax (301) 668-6034
Phone(301) 668-6030
Fax(301) 668-6034
Organization SubpartNo
Authorized OfficialJenny H. ToberyHr/finance Manager · (301) 668-6030
Enumeration DateFebruary 7, 2012
✔ NPI 1033481072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MD · 10AL022-G
Definition
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.
6441 JEFFERSON PIKE, Frederick, MD 21703
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Other Identifiers 1

Medicaid5390005300MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2043372

Tranquility At Fredericktowne · Frederick, MD
Active · expires Jul 1, 2028
CLIA Number21D2043372
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorDr. Allen Gilson
Laboratory Phone(301) 668-6030
Laboratory LocationTranquility At Fredericktowne6441 Jefferson Pike, Frederick, MD 21703
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY R HILTZ OT
Occupational Therapist
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (610) 991-2034
CHHIAR RUMA FNP
Nurse Practitioner (Family)
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (404) 570-6502
JEAN LOUISE BOURG P.T.
Physical Therapist
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (301) 620-0236
MARYLAND PHYSICAL THERAPY SERVICES OF FREDERICK, LLC
Physical Therapist
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (240) 215-3466
DR. BRENDA ANN VIDAL PSY.D.
Psychologist (Clinical)
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (301) 668-6033
DEBRA K CAPELLA PT
Physical Therapist
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (610) 991-2034
MRS. ELVIA KACHENCHAI PTA A3362
Physical Therapy Assistant
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (301) 620-0236
FREDERICK OPERATING, LLC
Assisted Living Facility
6441 JEFFERSON PIKE
FREDERICK, MD 21703
Frederick County (301) 668-6030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tranquillity At Fredericktowne's NPI number?

The NPI number for Tranquillity At Fredericktowne is 1033481072. It was assigned to this organization in the NPPES registry on February 7, 2012.

Where is Tranquillity At Fredericktowne located?

Tranquillity At Fredericktowne is located at 6441 Jefferson Pike, Frederick, MD 21703. The listed phone number is (301) 668-6030.

What is Tranquillity At Fredericktowne's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Tranquillity At Fredericktowne hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2043372) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tranquillity At Fredericktowne was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.