Pure Faith House Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PURE FAITH HOUSE INC

Practice address

455 Algonquin Rd
Hampton, VA 23661-1515

Phone

(757) 232-2146

NPI assigned

Oct 11, 2023

Last updated

Oct 26, 2023By 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

Mrs. Courtney Harper

Title

Ceo/Program Manager

Phone

(757) 232-2146

Specialties & licenses 1

Addresses

Tax ID family

Pure Faith House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pure Faith House Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hampton, VA
  • NPI 1851179816
  NPD tax ID

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1467233817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ALGONQUIN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611515",
            "telephone_number": "757-232-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ALGONQUIN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611515",
            "telephone_number": "757-232-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE FAITH HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO/PROGRAM MANAGER",
        "authorized_official_telephone_number": "757-232-2146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Pruitt
• Brooke Allison Puckett, M.ED.
• Phyllis E Pugh, LPC, CSAC
• April Danielle Pulver
• Kayla Purcell
• Pure Faith House Inc
• Purelife Healthcare Services LLC
• Sonia Purkey, LCSW
• Dakarie Amon Purnell
• Lyle Purnell, MSW/LMSW

• Mental Illness Community Based Residential Treatment Facility in Hampton, VA
• Providers in Hampton, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.