Provider Demographics
NPI:1013100353
Name:TRUE WORTH HOME HEALTHCARE
Entity type:Organization
Organization Name:TRUE WORTH HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PETTWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-829-8525
Mailing Address - Street 1:4505 MEADOWVIEW CT
Mailing Address - Street 2:1A
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-4954
Mailing Address - Country:US
Mailing Address - Phone:734-829-8525
Mailing Address - Fax:734-572-7396
Practice Address - Street 1:4505 MEADOWVIEW CT
Practice Address - Street 2:1A
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-4954
Practice Address - Country:US
Practice Address - Phone:734-829-8525
Practice Address - Fax:734-572-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251J00000X
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care