Provider Demographics
NPI:1619272077
Name:TRUELIFE HOME HEALTH CARE,INC.
Entity Type:Organization
Organization Name:TRUELIFE HOME HEALTH CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-469-4492
Mailing Address - Street 1:23 W MAIN ST STE 2W
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1680
Mailing Address - Country:US
Mailing Address - Phone:708-469-4492
Mailing Address - Fax:
Practice Address - Street 1:23 W MAIN ST STE 2W
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1680
Practice Address - Country:US
Practice Address - Phone:708-469-4492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care