Healthcare Provider Details

I. General information

NPI: 1013720341
Provider Name (Legal Business Name): TRUSTWAY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22807 SPELLBROOK BEND LN
RICHMOND TX
77407-6397
US

IV. Provider business mailing address

22807 SPELLBROOK BEND LN
RICHMOND TX
77407-6397
US

V. Phone/Fax

Practice location:
  • Phone: 513-307-7700
  • Fax:
Mailing address:
  • Phone: 513-307-7700
  • 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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: USMAN MBAH
Title or Position: MANAGING MEMBER
Credential:
Phone: 513-307-7700