Provider Demographics
NPI:1801853858
Name:TRUE HOME CARE - LLC
Entity Type:Organization
Organization Name:TRUE HOME CARE - LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:870-536-6301
Mailing Address - Street 1:3801 CAMDEN RD
Mailing Address - Street 2:#2A
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-4612
Mailing Address - Country:US
Mailing Address - Phone:870-536-6301
Mailing Address - Fax:870-536-6305
Practice Address - Street 1:3801 CAMDEN RD
Practice Address - Street 2:#2A
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-4612
Practice Address - Country:US
Practice Address - Phone:870-536-6301
Practice Address - Fax:870-536-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR002883332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR142162716Medicaid
AR49501OtherBCBS
AR3944100001Medicare NSC