Provider Demographics
NPI:1356115901
Name:TRUHEARTS SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:TRUHEARTS SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-595-7298
Mailing Address - Street 1:6013 RED SPUR CT
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-4548
Mailing Address - Country:US
Mailing Address - Phone:323-595-7298
Mailing Address - Fax:909-574-1145
Practice Address - Street 1:6013 RED SPUR CT
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-4548
Practice Address - Country:US
Practice Address - Phone:323-595-7298
Practice Address - Fax:909-574-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty