Healthcare Provider Details

I. General information

NPI: 1558201400
Provider Name (Legal Business Name): TRUECARE HOME & TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4055 PLEASANT WOODS DR
CUMMING GA
30028-4051
US

IV. Provider business mailing address

4055 PLEASANT WOODS DR
CUMMING GA
30028-4051
US

V. Phone/Fax

Practice location:
  • Phone: 470-338-3602
  • Fax:
Mailing address:
  • Phone: 470-338-3602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MARIE CLAUDE JACKSON
Title or Position: OWNER
Credential:
Phone: 470-338-3602