Provider Demographics
NPI:1326939299
Name:TRUE BLOOM HOMECARE LLC
Entity type:Organization
Organization Name:TRUE BLOOM HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHINEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-295-5700
Mailing Address - Street 1:222 N LAFAYETTE ST SUITE 11
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-4450
Mailing Address - Country:US
Mailing Address - Phone:888-642-5208
Mailing Address - Fax:888-642-5208
Practice Address - Street 1:222 N LAFAYETTE ST STE 11
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4450
Practice Address - Country:US
Practice Address - Phone:888-642-5208
Practice Address - Fax:888-642-5208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care