Pristine Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PRISTINE ADULT DAY CARE, LLC

Practice address

6360 Flank Dr
Harrisburg, PA 17112-2766

Phone

(717) 545-4743

NPI assigned

Dec 2, 2018

Last updated

Dec 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guru Subedi

Title

Member

Phone

(717) 545-4743

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543708800000",
    "number": "1265902399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 FLANK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 FLANK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122766",
            "telephone_number": "717-545-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-02",
        "last_updated": "2018-12-02",
        "status": "A",
        "authorized_official_last_name": "SUBEDI",
        "authorized_official_first_name": "GURU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "717-545-4743"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; 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.