=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548194814
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUE HEART HOME CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2026
-----------------------------------------------------
Last Update Date | 06/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11602 W CENTER RD STE 100
-----------------------------------------------------
City | OMAHA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68144-4440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-810-5052
-----------------------------------------------------
Fax | 718-810-5052
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11602 W CENTER RD STE 100
-----------------------------------------------------
City | OMAHA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68144-4440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-810-5052
-----------------------------------------------------
Fax | 718-810-5052
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PHYLLIS T SICILIANO
-----------------------------------------------------
Credential | SICILIANO
-----------------------------------------------------
Telephone | 718-810-5052
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------