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PURPLE MEDI-CARE.COM INC NPI 1780381434


NPI Information

NPI: 1780381434
Provider Name: PURPLE MEDI-CARE.COM INC

Doing Business As: PURPLE COMPANION CARE

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 10D2280247

Address:
2150 SOUTEL DR STE 8
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 437-4034
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PURPLE MEDI-CARE.COM INC is an in home supportive care in Jacksonville, FL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. PURPLE MEDI-CARE.COM INC NPI is 1780381434. The provider is registered as an organization entity type.
The provider Is Doing Business As Purple Companion Care.

The provider's business location address is:

2150 SOUTEL DR STE 8
JACKSONVILLE, FL
ZIP 32208-281
Phone: (904) 437-4034

The provider's authorized official is Patrinya Jordan .
The authorized official title is Ceo and has the following contact phone number (904) 479-2051.

The CLIA number assigned to this NPI record is 10D2280247 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2023 and was last updated on 5/31/2023.


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
1253Z00000XIn Home Supportive CareYes

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
19901OTHERFLORIDATRANSPORTATION AND HOME COMPANION

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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