| Tru Healthcare, Inc. | |
|
14525 Highway 7 Ste 265 Minnetonka MN 55345-3747 | |
| (651) 633-7300 | |
| (651) 633-7301 |
| Full Name | Tru Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14525 Highway 7 Ste 265, Minnetonka, Minnesota |
| Authorized Official Name and Position | Timothy Lively (PRESIDENT) |
| Authorized Official Contact | 6517898769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Healthcare, Inc. 3900 Northwoods Dr Ste 240 Saint Paul MN 55112-6991 Ph: (651) 633-7300 | Tru Healthcare, Inc. 14525 Highway 7 Ste 265 Minnetonka MN 55345-3747 Ph: (651) 633-7300 |
| NPI Number | 1386016822 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Medicare PECOS PAC ID | 0941324958 |
|---|---|
| Medicare Enrollment ID | O20210429000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386016822 | NPI | - | NPPES |
| Provider Name | Angela M Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942220587 PECOS PAC ID: 3072533231 Enrollment ID: I20051202000038 |
| Provider Name | Jason F Heuer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073649695 PECOS PAC ID: 4486828886 Enrollment ID: I20111121000942 |
| Provider Name | Erik T Sundstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932573896 PECOS PAC ID: 1951602879 Enrollment ID: I20151218001427 |
| Provider Name | Rebecca P Spaeth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275080947 PECOS PAC ID: 5092096628 Enrollment ID: I20161220000007 |
| Provider Name | Molly J Thibert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629528757 PECOS PAC ID: 7113208760 Enrollment ID: I20161220000624 |
| Provider Name | Magan Anne Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346780939 PECOS PAC ID: 4880011535 Enrollment ID: I20200826003752 |
| Provider Name | Molly Rose Hilgenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811535297 PECOS PAC ID: 4880084979 Enrollment ID: I20211203001492 |
| Provider Name | Jeana Bisek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013649946 PECOS PAC ID: 9830565951 Enrollment ID: I20221025000069 |
| Provider Name | Kirstin Moneaka Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205523347 PECOS PAC ID: 1759747157 Enrollment ID: I20230509002201 |
| Provider Name | Michelle Abbott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104094135 PECOS PAC ID: 6204287493 Enrollment ID: I20240112000210 |
| Provider Name | Melissa Longe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811270051 PECOS PAC ID: 0446692065 Enrollment ID: I20240529001152 |
| Provider Name | Andrea Stankiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548011984 PECOS PAC ID: 6103366232 Enrollment ID: I20240904002157 |
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