Provider Demographics
NPI:1033570288
Name:TRUE GEM ENTERPRISES, LLC
Entity type:Organization
Organization Name:TRUE GEM ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-511-1928
Mailing Address - Street 1:1248 EDGEWOOD AVE W STE 3-101
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-2797
Mailing Address - Country:US
Mailing Address - Phone:800-511-1928
Mailing Address - Fax:
Practice Address - Street 1:1248 EDGEWOOD AVE W STE 3-101
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-2797
Practice Address - Country:US
Practice Address - Phone:800-511-1928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120026800Medicaid
FL123206000Medicaid