Provider Demographics
NPI:1336715796
Name:TRUE NORTH HEALTHCARE LLC
Entity Type:Organization
Organization Name:TRUE NORTH HEALTHCARE LLC
Other - Org Name:TRUE NORTH HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIJALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-246-5096
Mailing Address - Street 1:2432 W PEORIA AVE STE 1201
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4736
Mailing Address - Country:US
Mailing Address - Phone:623-246-5096
Mailing Address - Fax:623-246-5097
Practice Address - Street 1:2432 W PEORIA AVE STE 1201
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4736
Practice Address - Country:US
Practice Address - Phone:623-246-5096
Practice Address - Fax:623-246-5097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based