Healthcare Provider Details

I. General information

NPI: 1306615802
Provider Name (Legal Business Name): TRUCARE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2023
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 PEARL RD STE 305
PARMA HEIGHTS OH
44130-3074
US

IV. Provider business mailing address

860 LEXINGTON AVE
MANSFIELD OH
44907-1996
US

V. Phone/Fax

Practice location:
  • Phone: 440-558-2571
  • Fax: 440-558-2528
Mailing address:
  • Phone: 419-775-4823
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. OMAR QALINLE
Title or Position: OWNER
Credential:
Phone: 440-558-2571