Organization Active NPI

Pure Hearts Personal Care Home LLC

  • Attendant Care Provider
  • Oakwood, GA
National Provider Identifier
1457081200
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
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

Updated by the provider on Jun 14, 2022

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)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PCH008014OtherGAPCH PERMIT NO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.