Organization Active NPI

Trucare Health Services, Inc.

  • Adult Care Home Facility
  • North Charleston, SC
National Provider Identifier
1780785170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
ADC-225 Issued in SC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
EX0669MedicaidSC

Other names 1

  • Trucare Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trucare Adult Day Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.