Provider Demographics
NPI:1053163568
Name:TRUE GROUP HOME LLC
Entity type:Organization
Organization Name:TRUE GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREEDOM
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SUMNER
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:980-785-7803
Mailing Address - Street 1:2504 TAMPA ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-4036
Mailing Address - Country:US
Mailing Address - Phone:807-857-8039
Mailing Address - Fax:336-907-3044
Practice Address - Street 1:2504 TAMPA ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-4036
Practice Address - Country:US
Practice Address - Phone:980-785-7803
Practice Address - Fax:336-907-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care