Active NPI
True Heart Training Healthcare Education LLC
- Health Service Clinic/Center
- Conyers, GA
National Provider Identifier
1023778164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- TRUE HEART TRAINING HEALTHCARE EDUCATION LLC
- Practice address
- 1540 Highway 138 SE Ste 4C
Conyers, GA 30013-1237 - Phone
- (470) 621-5567
- NPI assigned
- Dec 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Davein Latrice Bolden
- Title
- Ceo
- Phone
- (470) 621-5567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1540 Highway 138 SE Ste 4C
Conyers, GA 30013-1237
Mailing address
1540 Highway 138 SE Ste 4C
Conyers, GA 30013-1237
Phone (470) 621-5567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11D2237838 | Other | GA | CLIA |
National Provider Directory
National Provider DirectoryLocations
1540 Highway 138 SE
Ste 4C
Conyers, GA 30013
Phone (470) 621-5567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1023778164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 HIGHWAY 138 SE STE 4C",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131237",
"telephone_number": "470-621-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 HIGHWAY 138 SE STE 4C",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131237",
"telephone_number": "470-621-5567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE HEART TRAINING HEALTHCARE EDUCATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A",
"authorized_official_last_name": "BOLDEN",
"authorized_official_first_name": "DAVEIN",
"authorized_official_middle_name": "LATRICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "470-621-5567",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "11D2237838",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.