Provider Demographics
NPI:1891149050
Name:TRUCARE HOMEHEALTH SERVICES, INC
Entity Type:Organization
Organization Name:TRUCARE HOMEHEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HAWAH
Authorized Official - Middle Name:G
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-473-9110
Mailing Address - Street 1:86 SUMMIT AVE STE LL200
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3647
Mailing Address - Country:US
Mailing Address - Phone:908-473-9110
Mailing Address - Fax:908-473-9129
Practice Address - Street 1:86 SUMMIT AVE SUITE LL200
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901
Practice Address - Country:US
Practice Address - Phone:908-473-9110
Practice Address - Fax:908-473-9129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization