Healthcare Provider Details

I. General information

NPI: 1790575447
Provider Name (Legal Business Name): TRUE NORTH NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 VANCE ST
CLINTON NC
28328-4038
US

IV. Provider business mailing address

117 VANCE ST
CLINTON NC
28328-4038
US

V. Phone/Fax

Practice location:
  • Phone: 984-289-3667
  • Fax:
Mailing address:
  • Phone: 984-289-3667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTONIO GLOVER
Title or Position: OWNER
Credential:
Phone: 910-214-3076