Provider Demographics
| NPI: | 1437974565 |
|---|---|
| Name: | TRU FAMILY CARE HOME LLC |
| Entity type: | Organization |
| Organization Name: | TRU FAMILY CARE HOME LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | LEWIS |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MURDOCK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 336-260-3453 |
| Mailing Address - Street 1: | 706 BREEDERS CUP DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WHITSETT |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 27377-8008 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 336-512-1017 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 706 BREEDERS CUP DR |
| Practice Address - Street 2: | |
| Practice Address - City: | WHITSETT |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 27377-8008 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 336-512-1017 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-11-22 |
| Last Update Date: | 2024-12-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
| No | 385H00000X | Respite Care Facility | Respite Care | |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
