MEDICARE: TRUE LIFE MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WC1500X	Community Health Registered Nurse
2	163WD0400X	Diabetes Educator Registered Nurse
3	163WH0200X	Home Health Registered Nurse
4	171400000X	Health & Wellness Coach
5	171M00000X	Case Manager/Care Coordinator
6	251J00000X	Nursing Care Agency
7	163WG0000X	General Practice Registered Nurse

General Provider Information

NPI Number	:	1134937113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE LIFE MEDICAL, LLC

Provider Business Mailing Address
First Line	:	1301 YORK RD STE 800-1097
Second Line	:
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6035
Country	:	US
Telephone Number	:	443-927-7008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 YORK RD STE 800-1097
Second Line	:
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6035
Country	:	US
Telephone Number	:	443-927-7008
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED NURSE/ OWNER
Name	:	SEPTEMBER JONES
Credential	:	RN
Telephone Number	:	443-927-7008

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	01/01/2025

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