Healthcare Provider Details

I. General information

NPI: 1205740222
Provider Name (Legal Business Name): TRUE CARE COMPANION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 SOUTHERN HILLS DR
ORANGE PARK FL
32065-2657
US

IV. Provider business mailing address

7643 GATE PKWY # 104-666
JACKSONVILLE FL
32256-3092
US

V. Phone/Fax

Practice location:
  • Phone: 904-755-0884
  • Fax:
Mailing address:
  • Phone: 904-755-0884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DESIREE BACON
Title or Position: OWNER
Credential:
Phone: 904-755-0884