Pure Life LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

PURE LIFE LLC

Doing business as

Gods Country Primary Home Care Services

Practice address

1705 19TH St Ste a
Hondo, TX 78861-2301

Phone

(830) 426-2786

Fax

(830) 426-4786

NPI assigned

Mar 18, 2014

Last updated

Mar 14, 2019By 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

Mr. Rafiq R Virani

Title

President

Phone

(830) 426-2786

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Gods Country Primary Home Care Services Doing business as

Locations

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1508283334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 19TH ST STE A",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612301",
            "telephone_number": "830-426-2786",
            "fax_number": "830-426-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 19TH ST STE A",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612301",
            "telephone_number": "830-426-2786",
            "fax_number": "830-426-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "VIRANI",
        "authorized_official_first_name": "RAFIQ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-426-2786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016337",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPARTMENT OF AGING AND DISABILITY PAS LICENSE",
            "identifier": "016337",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDITIONAL TAXONOMY CODE",
            "identifier": "3747P1801X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gods Country Primary Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Lynn Ottinger, CRNA
• Jiva Marie Pate, APRN
• Francesca Piccioni, LPC
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• Promise Senior Solutions
• Amanda Ralph, MSN, APRN, FNP-C
• Ramhia, Inc. (La Estrella-Hondo)
• Mary Luisa Ramos, CNP
• Reesa Business LLC (Gods Country Pharmacy)
• Barbara Ann Reeves, RN

• Personal Care Attendant in Hondo, TX
• Providers in Hondo, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.