Trucare LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

TRUCARE LLC

Practice address

2545 Promenade Way Apt 210
Portage, IN 46368-2965

Phone

(219) 318-3116

NPI assigned

Apr 10, 2021

Organization subpart

No

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

Authorized official

Name

Chrystal AndersonNPI 1396325775

Title

Ceo/ Waiver Provider

Phone

(219) 318-3116

Specialties & licenses 4

Addresses

Other names 1

• TruCare LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chrystal Anderson

  • Day Training/Habilitation Specialist
  • Portage, IN
  • NPI 1396325775
  NPD Authorized official

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1659951036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 PROMENADE WAY APT 210",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 PROMENADE WAY APT 210",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682965",
            "telephone_number": "219-318-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "CEO/ WAIVER PROVIDER",
        "authorized_official_telephone_number": "219-318-3116"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruCare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "TruCare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Portage, IN
• Providers in Portage, IN by specialty
• Developmentally Disabled Services Day Training Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.