1407157571 NPI number — TRUE CARE HEALTH LLC

Table of content: (NPI 1407157571)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407157571 NPI number — TRUE CARE HEALTH LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUE CARE HEALTH LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407157571
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3020
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELLICOTT CITY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21041-3020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-804-3379
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7310 ESQUIRE CT
Provider Second Line Business Practice Location Address:
SUITE 209
Provider Business Practice Location Address City Name:
ELKRIDGE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21075-5440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-579-2273
Provider Business Practice Location Address Fax Number:
410-579-4661
Provider Enumeration Date:
11/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
OWUSU-SAKYI
Authorized Official First Name:
JOSEPHINE
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-804-3379

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  DO056381 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com