Provider Demographics
NPI:1124905047
Name:AIRTRANQUIL LLC
Entity type:Organization
Organization Name:AIRTRANQUIL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-362-8286
Mailing Address - Street 1:5732 CORRADI TER
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:CA
Mailing Address - Zip Code:93510-1131
Mailing Address - Country:US
Mailing Address - Phone:661-362-8286
Mailing Address - Fax:661-209-3281
Practice Address - Street 1:5732 CORRADI TER
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:CA
Practice Address - Zip Code:93510-1131
Practice Address - Country:US
Practice Address - Phone:661-362-8286
Practice Address - Fax:661-209-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies