Provider Demographics
NPI:1376968016
Name:TRUELOVE CARE
Entity Type:Organization
Organization Name:TRUELOVE CARE
Other - Org Name:HOME HELPERS AND DIRECT LINK OF NORTHEAST ARKANSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:TRUELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-974-9081
Mailing Address - Street 1:504 APPERSON DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-2653
Mailing Address - Country:US
Mailing Address - Phone:870-284-4064
Mailing Address - Fax:870-533-5564
Practice Address - Street 1:504 APPERSON DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-2653
Practice Address - Country:US
Practice Address - Phone:870-284-4064
Practice Address - Fax:870-533-5564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1335251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR197192754Medicaid