Provider Demographics
NPI: | 1407363526 |
---|---|
Name: | TRUE HOME HEALTH |
Entity type: | Organization |
Organization Name: | TRUE HOME HEALTH |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | YOLANDA |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | ROBINSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 865-208-0066 |
Mailing Address - Street 1: | 428 E SCOTT AVE STE 1 |
Mailing Address - Street 2: | |
Mailing Address - City: | KNOXVILLE |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37917-6306 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 865-208-0066 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 111 CENTER PARK DR STE 115 |
Practice Address - Street 2: | |
Practice Address - City: | KNOXVILLE |
Practice Address - State: | TN |
Practice Address - Zip Code: | 37922-2121 |
Practice Address - Country: | US |
Practice Address - Phone: | 865-208-0066 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-01-10 |
Last Update Date: | 2018-12-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TN | 1000000021012 | 101YM0800X, 376K00000X |
251E00000X, 251J00000X, 253Z00000X, 261QD1600X, 276400000X, 310400000X, 3104A0625X, 3104A0630X, 311ZA0620X, 320600000X, 320900000X, 3245S0500X, 385H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | ||
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 251J00000X | Agencies | Nursing Care | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
No | 276400000X | Hospital Units | Rehabilitation, Substance Use Disorder Unit | ||
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | Group - Multi-Specialty | |
No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness | |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances | |
No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home | |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | Group - Multi-Specialty |
No | 376K00000X | Nursing Service Related Providers | Nurse's Aide | Group - Multi-Specialty | |
No | 385H00000X | Respite Care Facility | Respite Care | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TN | Q033984 | Medicaid |