Active NPI
Truecare Mastectomy , Orthotic Fitting and Medical Supplies LLC
- Mastectomy Fitter
- Casselberry, FL
National Provider Identifier
1417864851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Legal business name
- TRUECARE MASTECTOMY , ORTHOTIC FITTING AND MEDICAL SUPPLIES LLC
- Practice address
- 1490 Sunshadow Dr Ste 3030
Casselberry, FL 32707-9055 - Phone
- (689) 588-4363
- NPI assigned
- Aug 24, 2026
- 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
- Racheal Hannah
- Title
- Manager
- Phone
- (618) 979-4610
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Mastectomy Fitter | 224900000X | Primary | ||
| Prosthetist | 224P00000X | |||
| Orthotic Fitter | 225000000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
1490 Sunshadow Dr Ste 3030
Casselberry, FL 32707-9055
Mailing address
1490 Sunshadow Dr Ste 3030
Casselberry, FL 32707-9055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1417864851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 SUNSHADOW DR STE 3030",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327079055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 SUNSHADOW DR STE 3030",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327079055",
"telephone_number": "689-588-4363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUECARE MASTECTOMY , ORTHOTIC FITTING AND MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "HANNAH",
"authorized_official_first_name": "RACHEAL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "618-979-4610"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.