Active NPI
Trucare Health Services, Inc.
- Adult Care Home Facility
- North Charleston, SC
National Provider Identifier
1780785170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- ADC-225
- Legal business name
- TRUCARE HEALTH SERVICES, INC.
- Doing business as
- Trucare Adult Day Center
- Practice address
- 9225 University Blvd
Ste. E-1a
North Charleston, SC 29406-9149 - Phone
- (843) 569-7200
- Fax
- (843) 569-7444
- NPI assigned
- Sep 26, 2006
- 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
- Ms. Valerie Diana Young, BS BIOLOGY
- Title
- Director
- Phone
- (843) 569-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | ADC-225 | SC | Primary |
Addresses
Primary practice location
9225 University Blvd
Ste. E-1a
North Charleston, SC 29406-9149
Mailing address
9225 University Blvd
Ste. E-1a
North Charleston, SC 29406-9149
Phone (843) 569-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0669 | Medicaid | SC |
Other names 1
- Trucare Adult Day Center
National Provider Directory
National Provider Directory- Tax ID family
- Trucare Adult Day Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- North Charleston, SC
- NPI 1104903269
Locations
9225 University Blvd
Ste E1A
North Charleston, SC 29406
Phone (843) 569-7200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Charleston, SC
- NPI 1265523724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780785170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 UNIVERSITY BLVD",
"address_2": "STE. E-1A",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069149",
"telephone_number": "843-569-7200",
"fax_number": "843-569-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 UNIVERSITY BLVD",
"address_2": "STE. E-1A",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069149",
"telephone_number": "843-569-7200",
"fax_number": "843-569-7444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUCARE HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "DIANA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "843-569-7200",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BS BIOLOGY"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "SC",
"license": "ADC-225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0669",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trucare Adult Day Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.