Healthcare Provider Details

I. General information

NPI: 1912422957
Provider Name (Legal Business Name): TRUCARE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 08/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9930 RISING SUN CT
RENO NV
89506
US

IV. Provider business mailing address

9930 RISING SUN CT
RENO NV
89506-2063
US

V. Phone/Fax

Practice location:
  • Phone: 775-690-4584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LOUIE PARCO
Title or Position: MANAGING MEMBER
Credential:
Phone: 775-690-4584