Healthcare Provider Details

I. General information

NPI: 1851213920
Provider Name (Legal Business Name): TRUECARE HAVEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 W SHERMAN BLVD
NORTON SHORES MI
49441-3544
US

IV. Provider business mailing address

379 E FOREST AVE
MUSKEGON MI
49442-5608
US

V. Phone/Fax

Practice location:
  • Phone: 231-428-1893
  • Fax:
Mailing address:
  • Phone: 231-428-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CHARNAY BRIANA LOGAN
Title or Position: CEO
Credential:
Phone: 231-428-1893