NPIMap

Organization Active NPI

Purity Home Healthcare

  • Home Health Agency
  • Brookhaven, MS
National Provider Identifier
1114477932
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1090 Issued in MS
Legal business name
PURITY HOME HEALTHCARE
Practice address
989 Mallalieu Dr SE Lot 24
Brookhaven, MS 39601-8985
Phone
(601) 265-8219
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Ms. Jackie M Maxwell, CNA
Title
Owner
Phone
(601) 265-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1090 MS Primary

Addresses

Primary practice location

989 Mallalieu Dr SE Lot 24
Brookhaven, MS 39601-8985

Mailing address

989 Mallalieu Dr SE Lot 24
Brookhaven, MS 39601-8985
Phone (601) 265-8219

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1114477932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 MALLALIEU DR SE LOT 24",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396018985",
            "telephone_number": "601-265-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 MALLALIEU DR SE LOT 24",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396018985",
            "telephone_number": "601-265-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURITY HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-265-8219",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.