Active NPI
Pure Hearts Personal Care Home LLC
- Attendant Care Provider
- Oakwood, GA
National Provider Identifier
1457081200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- PURE HEARTS PERSONAL CARE HOME LLC
- Practice address
- 5404 McEver Rd
Oakwood, GA 30566-3505 - Phone
- (770) 965-7000
- NPI assigned
- Jun 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra Hughes
- Title
- Owner
- Phone
- (770) 882-3498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
5404 McEver Rd
Oakwood, GA 30566-3505
Mailing address
5404 McEver Rd
Oakwood, GA 30566-3505
Phone (770) 965-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCH008014 | Other | GA | PCH PERMIT NO |
National Provider Directory
National Provider DirectoryLocations
5404 McEver Rd
Oakwood, GA 30566
Phone (770) 965-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1457081200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 MCEVER RD",
"city": "OAKWOOD",
"state": "GA",
"postal_code": "305663505",
"telephone_number": "770-965-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5404 MCEVER RD",
"city": "OAKWOOD",
"state": "GA",
"postal_code": "305663505",
"telephone_number": "770-965-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE HEARTS PERSONAL CARE HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-882-3498",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PCH PERMIT NO",
"identifier": "PCH008014",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.