Provider Demographics
NPI:1033237532
Name:TRUETTS FAMILY CARE HOME
Entity Type:Organization
Organization Name:TRUETTS FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-652-6256
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761-0188
Mailing Address - Country:US
Mailing Address - Phone:828-652-6256
Mailing Address - Fax:828-652-1331
Practice Address - Street 1:728 NEDMCGIMSEY RD
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761
Practice Address - Country:US
Practice Address - Phone:828-652-6256
Practice Address - Fax:828-652-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-059-007311ZA0620X
311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1033237532Medicaid
NC7801984OtherPROVIDER NUMBER