Provider Demographics
NPI:1144829094
Name:TRU FOUNDATION
Entity type:Organization
Organization Name:TRU FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:TARRIA
Authorized Official - Last Name:APPLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:661-472-3577
Mailing Address - Street 1:11509 TAGUS DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9641
Mailing Address - Country:US
Mailing Address - Phone:661-472-3577
Mailing Address - Fax:661-771-3197
Practice Address - Street 1:11509 TAGUS DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9641
Practice Address - Country:US
Practice Address - Phone:661-472-3577
Practice Address - Fax:661-771-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0000000Medicaid
0000000OtherPRIVATE INSURANCE/MEDICAL