Healthcare Provider Details
I. General information
NPI: 1700664364
Provider Name (Legal Business Name): TRUCARING INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2023
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7840 N SOUTHTOWN CROSSING SUITE 102
FORT WAYNE IN
46816
US
IV. Provider business mailing address
PO BOX 6173
FORT WAYNE IN
46896-0173
US
V. Phone/Fax
- Phone: 260-616-3052
- Fax: 260-247-9556
- Phone: 260-616-3052
- Fax: 260-247-9556
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:
A
THY
LAY
Title or Position: CEO
Credential:
Phone: 260-579-2097