Provider Demographics
NPI:1811720055
Name:TRULY AMAZING CARE
Entity type:Organization
Organization Name:TRULY AMAZING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LADONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-317-5816
Mailing Address - Street 1:3000 S HULEN ST STE 124-1057
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1914
Mailing Address - Country:US
Mailing Address - Phone:512-317-5816
Mailing Address - Fax:
Practice Address - Street 1:3009 AMBER DR S
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-6451
Practice Address - Country:US
Practice Address - Phone:512-317-5816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health