Provider Demographics
NPI:1073712881
Name:TRUE CARE HOME HEALTH EQUIPMENT SALES AND SERVICE LLC
Entity Type:Organization
Organization Name:TRUE CARE HOME HEALTH EQUIPMENT SALES AND SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-546-0241
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:PILOT KNOB
Mailing Address - State:MO
Mailing Address - Zip Code:63663-0507
Mailing Address - Country:US
Mailing Address - Phone:573-756-9911
Mailing Address - Fax:573-756-9913
Practice Address - Street 1:1155 MAPLE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-3128
Practice Address - Country:US
Practice Address - Phone:573-756-9911
Practice Address - Fax:573-756-9913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO5450010002Medicare NSC