Provider Demographics
NPI:1104430339
Name:TRUE KONNECTIONS HOME CARE LLC
Entity type:Organization
Organization Name:TRUE KONNECTIONS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:803-343-9008
Mailing Address - Street 1:5 CLUSTERS CT STE 112
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4831
Mailing Address - Country:US
Mailing Address - Phone:803-343-9008
Mailing Address - Fax:
Practice Address - Street 1:5 CLUSTERS CT STE 112
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4831
Practice Address - Country:US
Practice Address - Phone:803-343-9008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care