Provider Demographics
NPI:1982000253
Name:TRUE CARE HOME THERAPY LLC
Entity Type:Organization
Organization Name:TRUE CARE HOME THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:MITSOCK
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:732-236-3857
Mailing Address - Street 1:149 BRENTFIELD LOOP
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6879
Mailing Address - Country:US
Mailing Address - Phone:732-236-3857
Mailing Address - Fax:
Practice Address - Street 1:149 BRENTFIELD LOOP
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6879
Practice Address - Country:US
Practice Address - Phone:732-236-3857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA3208225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE250Medicare PIN