PURE SERENITY HOMES LLC NPI 1013792506

NPI Information

  • NPI: 1013792506
  • Provider Name: PURE SERENITY HOMES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1586 WILSON AVE
    COLUMBUS, OH
    ZIP 43207
  • Phone: (765) 437-6431

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NPI Details

PURE SERENITY HOMES LLC is an assisted living facility in Columbus, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PURE SERENITY HOMES LLC NPI is 1013792506. The provider is registered as an organization entity type.

The provider's business location address is:

1586 WILSON AVE
COLUMBUS, OH
ZIP 43207-359
Phone: (765) 437-6431

The provider's authorized official is Bradon A Cobb .
The authorized official title is Owner and has the following contact phone number (765) 867-3072.

The enumeration date for this NPI number is 8/31/2023 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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