Healthcare Provider Details

I. General information

NPI: 1053272559
Provider Name (Legal Business Name): TRUE AT HEART COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2318 S COUNTRY CLUB DR APT 3134
MESA AZ
85210-8676
US

IV. Provider business mailing address

2318 S COUNTRY CLUB DR APT 3134
MESA AZ
85210-8676
US

V. Phone/Fax

Practice location:
  • Phone: 463-867-3787
  • Fax:
Mailing address:
  • Phone: 463-867-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: GABRIELE HALL
Title or Position: CEO
Credential:
Phone: 463-867-3787