Healthcare Provider Details

I. General information

NPI: 1154253722
Provider Name (Legal Business Name): TRUE NORTH SUPPORTIVE HOUSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 MAGNOLIA AVE
RIVERSIDE CA
92504-3805
US

IV. Provider business mailing address

7121 MAGNOLIA AVE
RIVERSIDE CA
92504-3805
US

V. Phone/Fax

Practice location:
  • Phone: 951-394-8337
  • Fax:
Mailing address:
  • Phone: 951-394-8337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: GUY ANTHONY LEEMHUS
Title or Position: EXECUTIVE DIRECTOR/GENERAL COUNSEL
Credential: ESQ.
Phone: 323-286-2770