1821171331 NPI number — TRUE CARE HEALTHCARE CONSULTANTS

Table of content: (NPI 1821171331)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821171331 NPI number — TRUE CARE HEALTHCARE CONSULTANTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUE CARE HEALTHCARE CONSULTANTS
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:
1821171331
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLD BRIDGE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08857
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-698-2715
Provider Business Mailing Address Fax Number:
732-698-0051

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
137 SOUTHWOOD DR.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLD BRIDGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08857
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-698-2715
Provider Business Practice Location Address Fax Number:
732-698-0051
Provider Enumeration Date:
10/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LARKINS-HARRIS
Authorized Official First Name:
SHELLY
Authorized Official Middle Name:
Authorized Official Title or Position:
REGIONAL MANAGER
Authorized Official Telephone Number:
732-698-2715

Provider Taxonomy Codes

  • Taxonomy code: 251F00000X , with the licence number:  251F00000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 251J00000X , with the licence number: 25100000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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





Copyright © 2007-2025 www.npivalidator.com