Provider Demographics
NPI:1588740633
Name:TRUE VENTURE 2000
Entity type:Organization
Organization Name:TRUE VENTURE 2000
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-228-0011
Mailing Address - Street 1:1229 E PLEASANT RUN RD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4209
Mailing Address - Country:US
Mailing Address - Phone:972-228-0011
Mailing Address - Fax:972-228-9924
Practice Address - Street 1:1229 E PLEASANT RUN RD
Practice Address - Street 2:SUITE 129
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4209
Practice Address - Country:US
Practice Address - Phone:972-228-0011
Practice Address - Fax:972-228-9924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007079251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
459184Medicare PIN