Provider Demographics
NPI:1679192330
Name:TRUE DESIRE HOME CARE LLC
Entity Type:Organization
Organization Name:TRUE DESIRE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STNA
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STARGELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-248-6828
Mailing Address - Street 1:223 S ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-2107
Mailing Address - Country:US
Mailing Address - Phone:702-357-0859
Mailing Address - Fax:
Practice Address - Street 1:223 S ARDMORE AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-2107
Practice Address - Country:US
Practice Address - Phone:702-357-0859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health