Healthcare Provider Details

I. General information

NPI: 1982895587
Provider Name (Legal Business Name): TRUENORTH COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6308 S WARNER AVE
FREMONT MI
49412-9279
US

IV. Provider business mailing address

PO BOX 149
FREMONT MI
49412-0149
US

V. Phone/Fax

Practice location:
  • Phone: 231-924-0641
  • Fax: 231-924-5594
Mailing address:
  • Phone: 231-924-0641
  • Fax: 231-924-5594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MS. BEV CASSIDY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 231-924-0641