Provider Demographics
NPI:1396365284
Name:TRUECARE HOME HEALTHCARE AGENCY, LLC
Entity Type:Organization
Organization Name:TRUECARE HOME HEALTHCARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:937-242-0916
Mailing Address - Street 1:118 W 1ST ST STE 314
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1185
Mailing Address - Country:US
Mailing Address - Phone:937-813-1708
Mailing Address - Fax:391-813-3799
Practice Address - Street 1:118 W 1ST ST STE 314
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1185
Practice Address - Country:US
Practice Address - Phone:937-813-1708
Practice Address - Fax:391-813-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty