Healthcare Provider Details
I. General information
NPI: 1831337187
Provider Name (Legal Business Name): TRUE CARE PROFESSIONALS FLA. LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2009
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1680 SW BAYSHORE BLVD STE 229
PORT ST LUCIE FL
34984-3519
US
IV. Provider business mailing address
1680 SW BAYSHORE BLVD STE 229
PORT ST LUCIE FL
34984-3519
US
V. Phone/Fax
- Phone: 561-767-4355
- Fax: 877-883-4509
- Phone: 561-767-4355
- Fax: 877-883-4509
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEAN-CLAUDE
ALCIME
Title or Position: OWNER / ADMINISTRATOR
Credential:
Phone: 603-231-9263