Healthcare Provider Details

I. General information

NPI: 1538989900
Provider Name (Legal Business Name): TRUWELL HOME HEALTH AGENCY & TRUWELL HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2024
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2957 N OAKWOOD AVE
MUNCIE IN
47304-2255
US

IV. Provider business mailing address

2957 N OAKWOOD AVE
MUNCIE IN
47304-2255
US

V. Phone/Fax

Practice location:
  • Phone: 678-884-3676
  • Fax:
Mailing address:
  • Phone: 678-884-3676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. TRINETTE CLARK
Title or Position: MANAGER/ADMINISTRATOR
Credential: B.S., R.M.A., PBT
Phone: 463-241-7899