Healthcare Provider Details

I. General information

NPI: 1144829094
Provider Name (Legal Business Name): TRU FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11509 TAGUS DR
BAKERSFIELD CA
93311-9641
US

IV. Provider business mailing address

11509 TAGUS DR
BAKERSFIELD CA
93311-9641
US

V. Phone/Fax

Practice location:
  • Phone: 661-472-3577
  • Fax: 661-771-3197
Mailing address:
  • Phone: 661-472-3577
  • Fax: 661-771-3197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIFFANY TARRIA APPLE
Title or Position: ADMINISTRATOR/REGISTERED NURSE
Credential: RN
Phone: 661-472-3577