Purity Homemaker and Home Health Aide Care Services, LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PURITY HOMEMAKER AND HOME HEALTH AIDE CARE SERVICES, LLC

Practice address

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

Phone

(601) 455-4080

NPI assigned

Apr 23, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Marie Maxwell, CCMA, CNA

Title

Owner

Phone

(601) 595-2673

Specialties & licenses 4

Addresses

Other names 1

• Purity Homemaker and Home Health Aide Care Services, LLC Former legal business name

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1427612761",
    "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": "601-455-4080"
        },
        {
            "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": "601-455-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURITY HOMEMAKER AND HOME HEALTH AIDE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-595-2673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCMA, CNA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purity Homemaker and Home Health Aide Care Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Precision Healthcare Staffing LLC
• Precision Healthcare Staffing LLC
• Preferred Care Developmental Centers of Ms I Inc
• Daniel Wade Price, NP
• Purity Home Healthcare
• Jani L Purvis, MD
• Ellen Pyeatt
• Larry G Ray, LCSW
• RCG Mississippi, Inc.
• Tina R Reed-Hearn, CPN

• Home Health Aide in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Home Health Aide in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.