=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790504736
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUE HEARTS IN HOME CARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2024
-----------------------------------------------------
Last Update Date | 10/07/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1814 ACORN DR
-----------------------------------------------------
City | DILLON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29536-7458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 842-250-9347
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1814 ACORN DR
-----------------------------------------------------
City | DILLON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29536-7458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-250-9347
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. RHONDA PAGE MOXEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 843-250-9347
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174200000X
-----------------------------------------------------
Taxonomy Name | Meals Provider
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------