TRUEBLUE MANAGEMENT GROUP (NPI# 1073144689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073144689 |
| Entity Type | Organization |
| Organization Name | TRUEBLUE MANAGEMENT GROUP |
| Practice Address |
719 Kathy Dianne Dr # 342 Indian Land SC 29707-6905 |
| Mailing Address |
6047 Tyvola Glen Cir Charlotte NC 28217-6431 |
| Practice Telephone | 7045599862 |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-01 |
| Authorized Official Name | HIRAM SUTTON (MANAGER) |
| Authorized Official Telephone | 7045599862 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRUEBLUE MANAGEMENT GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Nine Mgmt | Doing Business As Name - Organization |
| Street Address |
719 KATHY DIANNE DR # 342 |
| City | INDIAN LAND |
| State | SC |
| Zip Code | 29707-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829888 | Rodseline Ann Graffreaid | Adult Companion | 716 E Fairfield Rd Ste 110, Greenville, SC 29605-3688 | 2020-10-23 |
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1205464484 | Latricia Trapp | Adult Companion | 7356 Garners Ferry Rd Ste 114, Columbia, SC 29209-2146 | 2020-04-01 |
| 1265064679 | Cater To Needs | Adult Companion | 300 John St Ste 6b, Greer, SC 29651-1463 | 2020-02-04 |
| 1558992107 | Jasmin Simone Morris | Adult Companion | 112 Thomas Ranch Rd, Union, SC 29379-8037 | 2020-02-03 |
| 1972134542 | Icare Home Solutions, LLC | Adult Companion | 1501 Belle Isle Ave, Suite 110, Mount Pleasant, SC 29464-8379 | 2020-01-31 |
| 1407404437 | Brooklyn Mitchell | Adult Companion | 1595 Lewis Rd, Sumter, SC 29154-7351 | 2019-09-03 |
| 1982252052 | Sheena Locklear | Adult Companion | 560 Preston Brook Dr, Catawba, SC 29704-9711 | 2019-08-30 |
| 1780238394 | Michaelas Angelic Caregivers LLC | Adult Companion | 455 St Andrews Rd Bldg D, Suite 3a, Columbia, SC 29210-4486 | 2019-07-31 |
| 1811556848 | Mi'angels Caretakers LLC | Adult Companion | 942 Dougherty Rd Ste C, Aiken, SC 29803-6559 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN LAND |
| Zip Code | 29707 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.