Provider Demographics
NPI:1508495029
Name:TRUCARE HOSPICE LLC
Entity Type:Organization
Organization Name:TRUCARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEERTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-277-8266
Mailing Address - Street 1:2400 BELLEVUE RD STE 26
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2893
Mailing Address - Country:US
Mailing Address - Phone:478-277-8266
Mailing Address - Fax:
Practice Address - Street 1:2400 BELLEVUE RD STE 26
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2893
Practice Address - Country:US
Practice Address - Phone:478-277-8266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based