MEDICARE: TRUST IN US HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1194363986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUST IN US HOMECARE LLC

Provider Business Mailing Address
First Line	:	1290 E ARLINGTON BLVD STE 203
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-7854
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1290 E ARLINGTON BLVD STE 203
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-7854
Country	:	US
Telephone Number	:	252-652-1957
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMARA TITLEY
Credential	:
Telephone Number	:	252-652-1957

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	12/12/2019

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Directions to “TRUST IN US HOMECARE LLC ” Practice Location

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