MEDICARE: TRU-CARE HOME HEALTH, INC.

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	1010642	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588717151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU-CARE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	9933 LAWLER AVE STE 346
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3783
Country	:	US
Telephone Number	:	847-329-0066
Fax Number	:	847-915-6548

Provider Business Practice Location Address
First Line	:	9933 LAWLER AVE STE 346
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3783
Country	:	US
Telephone Number	:	847-329-0066
Fax Number	:	847-915-6548

Authorized Official
Title or Position	:	CEO
Name	:	MR. DOMERLIN SODUSTA
Credential	:	DPT
Telephone Number	:	847-329-0066

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	03/06/2024

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