Provider Demographics
NPI:1487405023
Name:TRU EXPERT CARE HOMEHEALTH LLC
Entity type:Organization
Organization Name:TRU EXPERT CARE HOMEHEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:WAIS
Authorized Official - Last Name:WALI
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:703-473-6805
Mailing Address - Street 1:14048 BANEBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-8856
Mailing Address - Country:US
Mailing Address - Phone:571-580-3070
Mailing Address - Fax:859-297-6774
Practice Address - Street 1:14048 BANEBERRY CIR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-8856
Practice Address - Country:US
Practice Address - Phone:703-473-6805
Practice Address - Fax:895-297-6774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-0005505OtherVDH LICENSE