=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306615802
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUCARE HOME HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/26/2023
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6315 PEARL RD STE 305
-----------------------------------------------------
City | PARMA HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44130-3074
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-558-2571
-----------------------------------------------------
Fax | 440-558-2528
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 860 LEXINGTON AVE
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44907-1996
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-775-4823
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. OMAR QALINLE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 440-558-2571
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------