Organization Active NPI

True Heart Training Healthcare Education LLC

  • Health Service Clinic/Center
  • Conyers, GA
National Provider Identifier
1023778164
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Dec 29, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11D2237838OtherGACLIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.