Organization Active NPI

Pure Hearts Home Care LLC

  • Adult Care Home Facility
  • Warren, MI
National Provider Identifier
1245046671
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PURE HEARTS HOME CARE LLC
Practice address
23411 Blackett Ave
Warren, MI 48089-4408
Phone
(587) 873-0484
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Elijah Pryor
Title
Owner
Phone
(586) 873-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

23411 Blackett Ave
Warren, MI 48089-4408

Mailing address

23411 Blackett Ave
Warren, MI 48089-4408
Phone (587) 873-0484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1245046671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23411 BLACKETT AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894408",
            "telephone_number": "587-873-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23411 BLACKETT AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894408",
            "telephone_number": "587-873-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEARTS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-873-0484"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.