Healthcare Provider Details

I. General information

NPI: 1215818679
Provider Name (Legal Business Name): TRUGRACE HOME CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E CITY HALL AVE STE 309
NORFOLK VA
23510-1700
US

IV. Provider business mailing address

223 E CITY HALL AVE STE 309
NORFOLK VA
23510-1700
US

V. Phone/Fax

Practice location:
  • Phone: 757-796-5700
  • Fax:
Mailing address:
  • Phone: 757-796-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TAMARON R LUCKETT
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 757-796-5700