MEDICARE: TRUSTWISE CARE 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1528903218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTWISE CARE LLC

Provider Business Mailing Address
First Line	:	132 W INTERNATIONAL SPEEDWAY BLVD STE 11
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-4322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 W INTERNATIONAL SPEEDWAY BLVD STE 11
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-4322
Country	:	US
Telephone Number	:	917-757-8340
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. STEVEN CHANCELER JEWELS
Credential	:
Telephone Number	:	917-757-8340

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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