Purpose Driven Pca LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PURPOSE DRIVEN PCA LLC

Doing business as

Purpose Driven PCA

Practice address

830 S Durango Dr Ste 100
Las Vegas, NV 89145-2486

Phone

(702) 515-0294

NPI assigned

Aug 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcus Roberts

Title

Managing Memeber

Phone

(702) 515-0294

Specialties & licenses 1

Addresses

Other names 1

• Purpose Driven PCA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1083261770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD # 346",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-515-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452486",
            "telephone_number": "702-515-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE DRIVEN PCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "702-515-0294"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purpose Driven PCA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Purpose Driven PCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.