NPIMap

Organization Active NPI

True Health Experience Clinic LLC

  • Primary Care Clinic/Center
  • Granger, IN
National Provider Identifier
1821868902
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRUE HEALTH EXPERIENCE CLINIC LLC
Practice address
6910 N Main St Unit 4
Granger, IN 46530-9681
Phone
(219) 508-0510
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Dawn Marie Mahaffey, FNP-CNPI 1033639679
Title
Owner
Phone
(219) 508-0510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6910 N Main St Unit 4
Granger, IN 46530-9681

Mailing address

684 E 950 N
Westville, IN 46391-9446
Phone (219) 508-0510

National Provider Directory

National Provider Directory

Locations

6910 N Main St
Unit 4
Granger, IN 46530
Phone (574) 931-2680

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": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1821868902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 E 950 N",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919446",
            "telephone_number": "219-508-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST UNIT 4",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309681",
            "telephone_number": "219-508-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE HEALTH EXPERIENCE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MAHAFFEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-508-0510",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.