Purificare Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

PURIFICARE DIALYSIS LLC

Practice address

801 Avenue H E Ste 110
Arlington, TX 76011-7701

Phone

(817) 709-4923

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Matt Frederic

Title

President

Phone

(760) 473-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538201850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 HEATHER STONE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273703",
            "telephone_number": "760-473-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AVENUE H E STE 110",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760117701",
            "telephone_number": "817-709-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURIFICARE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREDERIC",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-473-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Heart Home Care
• Pure Loving Heart Healthcare LLC
• Pure Motion Physical Therapy and Wellness
• Pure Vue Diagnostics LLC
• Thomas J Purgason, MD
• Daniel Purifoy, FNP
• Purposeful Mind Psychiatry
• Ellesmira Drew Pursell
• Pursuit of Happiness Healthcare LLC
• Katie Jean Purvis, MSN, APRN, PMHNP-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.