Healthcare Provider Details

I. General information

NPI: 1902617863
Provider Name (Legal Business Name): TRUE BLUE HOSPICE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 FREEWALT WAY
SAINT MARYS OH
45885-1201
US

IV. Provider business mailing address

310 FREEWALT WAY
SAINT MARYS OH
45885-1201
US

V. Phone/Fax

Practice location:
  • Phone: 419-305-3414
  • Fax: 419-300-3414
Mailing address:
  • Phone: 419-305-3414
  • Fax: 419-300-3414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMMY LYNNE KILL
Title or Position: EXECUTIVE DIRECTOR
Credential: MSN, RN
Phone: 567-204-2615