MEDICARE: ITRUST CARES 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1225751068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ITRUST CARES LLC

Provider Business Mailing Address
First Line	:	127 COMMONS WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29611-3850
Country	:	US
Telephone Number	:	864-970-2273
Fax Number	:	864-383-6258

Provider Business Practice Location Address
First Line	:	127 COMMONS WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29611-3850
Country	:	US
Telephone Number	:	864-970-2273
Fax Number	:	864-383-6258

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	GRACE KEEL
Credential	:
Telephone Number	:	864-520-5500

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	03/10/2026

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Directions to “ITRUST CARES LLC ” Practice Location

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