MEDICARE: TRUE GROUP HOME 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	3104A0630X	Assisted Living Facility (Behavioral Disturbances)

General Provider Information

NPI Number	:	1689547119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE GROUP HOME LLC

Provider Business Mailing Address
First Line	:	1911 MURRAYHILL RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-3726
Country	:	US
Telephone Number	:	980-785-7803
Fax Number	:

Provider Business Practice Location Address
First Line	:	2504 TAMPA ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-4036
Country	:	US
Telephone Number	:	980-785-7803
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FREEDOM ANN SUMNER
Credential	:
Telephone Number	:	980-785-7803

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “TRUE GROUP HOME LLC ” Practice Location

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