Organization
TRU HEALTHCARE, INC.
Active
Other names
HealthStar Home Health, TRU Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LIVELY (PRESIDENT)
(651) 789-8769
Entity
Organization
Contact information
Practice address
3900 NORTHWOODS DR STE 240, ARDEN HILLS, MN 55112-6991
(651) 285-0135
(651) 633-7301
Mailing address
3900 NORTHWOODS DR STE 240, ARDEN HILLS, MN 55112-6991
(651) 285-0135
(651) 633-7301
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
251E00000X
Home Health Agency
430029700
MN
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378177
—
AZ
05
—
430029700
—
MN
05
—
43115100
—
WI
05
—
45471746
—
NM
Enumeration date
09/20/2006
Last updated
09/13/2024
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