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PURE HEARTS PERSONAL CARE HOME LLC NPI 1457081200


NPI Information

NPI: 1457081200
Provider Name: PURE HEARTS PERSONAL CARE HOME LLC
Classification: Technician - 3747A0650X
Entity Type: Organization

Specialization: Attendant Care Provider

Address:
5404 MCEVER RD
OAKWOOD, GA
ZIP 30566
Phone: (770) 965-7000
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PURE HEARTS PERSONAL CARE HOME LLC is an attendant care provider technician in Oakwood, GA. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. PURE HEARTS PERSONAL CARE HOME LLC NPI is 1457081200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5404 MCEVER RD
OAKWOOD, GA
ZIP 30566-505
Phone: (770) 965-7000

The provider's authorized official is Sandra Hughes .
The authorized official title is Owner and has the following contact phone number (770) 882-3498.

The enumeration date for this NPI number is 6/14/2022 and was last updated on 6/14/2022.


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
13747A0650XTechnicianAttendant Care ProviderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PCH008014OTHERGEORGIAPCH PERMIT NO

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: 5/5/2024

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