Provider Demographics
NPI:1467711697
Name:TRUEVINE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:TRUEVINE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-768-4251
Mailing Address - Street 1:10410 KENSINGTON PKWY STE 213
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2947
Mailing Address - Country:US
Mailing Address - Phone:301-768-4251
Mailing Address - Fax:186-685-0734
Practice Address - Street 1:10410 KENSINGTON PKWY STE 213
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2947
Practice Address - Country:US
Practice Address - Phone:301-768-4251
Practice Address - Fax:186-685-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3216P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health