Pure Age Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PURE AGE HOME CARE AGENCY LLC

Practice address

1611 Peach St Ste 405
Erie, PA 16501-2123

Phone

(814) 882-8269

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Raghad Ali

Title

Owner

Phone

(814) 882-8269

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1528712171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST STE 405",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012123",
            "telephone_number": "814-882-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST STE 405",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012123",
            "telephone_number": "814-882-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE AGE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "RAGHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-882-8269"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Puckett, DO
• Pugh Solstice Homecare LLC
• Justin Parker Puller, MD
• Shawnta' Pulliam-Brown, BCNWP, CD(DONA)
• Gregory John Purchase, LCSW
• Pure Solution Home Health Agency
• Avinash G Purohit, MD
• John Purvis, RN
• Kari Elizabeth Putnam, LPC, CAADC
• Katrina L Putnam, LSW

• In Home Supportive Care Agency in Erie, PA
• Providers in Erie, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.