Provider Demographics
NPI:1538989900
Name:TRUWELL HOME HEALTH AGENCY & TRUWELL HOSPICE INC
Entity type:Organization
Organization Name:TRUWELL HOME HEALTH AGENCY & TRUWELL HOSPICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RMA, PBT
Authorized Official - Phone:463-241-7899
Mailing Address - Street 1:2957 N OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-2255
Mailing Address - Country:US
Mailing Address - Phone:678-884-3676
Mailing Address - Fax:
Practice Address - Street 1:2957 N OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-2255
Practice Address - Country:US
Practice Address - Phone:678-884-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No251G00000XAgenciesHospice Care, Community Based