True Trace Residential Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

TRUE TRACE RESIDENTIAL HOME LLC

Practice address

1135 Bridgefield PL Apt 107
Charlotte, NC 28216-6030

Phone

(704) 915-8786

NPI assigned

Jul 29, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Quanolia Eureka Sanders

Title

Owner

Phone

(704) 915-8786

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1033031034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 BRIDGEFIELD PL APT 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166030",
            "telephone_number": "704-915-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BRIDGEFIELD PL APT 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166030",
            "telephone_number": "704-915-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE TRACE RESIDENTIAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "QUANOLIA",
        "authorized_official_middle_name": "EUREKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-915-8786"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Truesdale, APRN, NP

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.