MEDICARE: TRUELUX HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1487509584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUELUX HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	259 ROOKER DR
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-8802
Country	:	US
Telephone Number	:	762-308-6028
Fax Number	:

Provider Business Practice Location Address
First Line	:	259 ROOKER DR
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-8802
Country	:	US
Telephone Number	:	762-308-6028
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NIKITA OWENS
Credential	:
Telephone Number	:	770-299-9508

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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