Provider Demographics
NPI:1700281524
Name:TRUCARE TRANSFORMATION
Entity Type:Organization
Organization Name:TRUCARE TRANSFORMATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:STARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-330-1832
Mailing Address - Street 1:607 NEILL AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3923
Mailing Address - Country:US
Mailing Address - Phone:615-330-1832
Mailing Address - Fax:615-650-3442
Practice Address - Street 1:607 NEILL AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3923
Practice Address - Country:US
Practice Address - Phone:615-330-1832
Practice Address - Fax:615-650-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL0000000140503104A0625X
TNI0000000148923104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness