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PURE LIFE LLC NPI 1508283334


NPI Information

NPI: 1508283334
Provider Name: PURE LIFE LLC

Doing Business As: GODS COUNTRY PRIMARY HOME CARE SERVICES

Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
1705 19TH ST STE A
HONDO, TX
ZIP 78861
Phone: (830) 426-2786
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PURE LIFE LLC is a personal care attendant technician in Hondo, TX. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards PURE LIFE LLC NPI is 1508283334. The provider is registered as an organization entity type.
The provider Is Doing Business As Gods Country Primary Home Care Services.

The provider's business location address is:

1705 19TH ST STE A
HONDO, TX
ZIP 78861-301
Phone: (830) 426-2786
Fax: (830) 426-4786

The provider's authorized official is Rafiq R Virani .
The authorized official title is President and has the following contact phone number (830) 426-2786.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 3/14/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health016337TEXASNo
2251J00000XNursing CareNo
33747P1801XTechnicianPersonal Care AttendantYes
4253Z00000XIn Home Supportive CareNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016337OTHERTEXASTX DEPARTMENT OF AGING AND DISABILITY PAS LICENSE
23747P1801XOTHERTEXASADDITIONAL TAXONOMY CODE

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: 4/28/2024

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