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General NPI Number Information
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NPI Number | 1003753492
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Entity Type | Organization
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Legal Business Name | TRUEWELL HOMECARE & SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 05/02/2026
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Last Update Date | 05/02/2026
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Provider Practice Location Address
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Address Line | 1565 EBENEZER RD STE 111
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City | ROCK HILL
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State | SC
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Zip | 29732-2494
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Country | US
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Telephone | 803-876-3474
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Fax |
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Provider Business Mailing Address
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Address Line | 1565 EBENEZER RD STE 111
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City | ROCK HILL
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State | SC
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Zip | 29732-2494
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Country | US
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Telephone | 803-876-3474
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHANISE GIBSON
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Credential | RN
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Telephone | 704-303-2487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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