Provider Demographics
NPI:1063255792
Name:TRUE COLORS HOME CARE LLC
Entity type:Organization
Organization Name:TRUE COLORS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT COMPANION
Authorized Official - Prefix:
Authorized Official - First Name:SHANTANIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-940-6920
Mailing Address - Street 1:9308 BESSEMORE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-2717
Mailing Address - Country:US
Mailing Address - Phone:586-940-6920
Mailing Address - Fax:
Practice Address - Street 1:9308 BESSEMORE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-2717
Practice Address - Country:US
Practice Address - Phone:586-940-6920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty