Provider Demographics
NPI:1679314314
Name:TRUE HOME CARE LLC
Entity type:Organization
Organization Name:TRUE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:BETELEHEM
Authorized Official - Middle Name:GIRMA
Authorized Official - Last Name:CHALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-907-2943
Mailing Address - Street 1:4801 SANDYROCK LN
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-3860
Mailing Address - Country:US
Mailing Address - Phone:901-907-2943
Mailing Address - Fax:
Practice Address - Street 1:4801 SANDYROCK LN
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3860
Practice Address - Country:US
Practice Address - Phone:901-907-2943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities