Healthcare Provider Details

I. General information

NPI: 1750100939
Provider Name (Legal Business Name): TRUE COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 10/07/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 COVENTRY CIR
PISCATAWAY NJ
08854-5214
US

IV. Provider business mailing address

16 COVENTRY CIR
PISCATAWAY NJ
08854-5214
US

V. Phone/Fax

Practice location:
  • Phone: 732-322-0141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHIDI ENYIORJI
Title or Position: ADMINISTRATOR/ DIRECTOR OF NURSING
Credential:
Phone: 732-322-0141