Organization Active NPI

Pure Health Services South, LLC

Doing business as Pure Health Services South

  • Home Health Agency
  • Indian Shores, FL
National Provider Identifier
1538813951
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE HEALTH SERVICES SOUTH, LLC
Doing business as
Pure Health Services South
Practice address
18650 Gulf Blvd Unit 414
Indian Shores, FL 33785-2080
Phone
(712) 542-0123
Fax
(712) 850-1349
NPI assigned
Feb 4, 2022
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Misty Ann Haffner-SzynskieNPI 1982732418
Title
Admin
Phone
(712) 542-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18650 Gulf Blvd Unit 414
Indian Shores, FL 33785-2080

Mailing address

18650 Gulf Blvd Unit 414
Indian Shores, FL 33785-2080
Phone (712) 542-0123

Other names 1

  • Pure Health Services South Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1538813951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 GULF BLVD UNIT 414",
            "city": "INDIAN SHORES",
            "state": "FL",
            "postal_code": "337852080",
            "telephone_number": "712-542-0123",
            "fax_number": "712-850-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 GULF BLVD UNIT 414",
            "city": "INDIAN SHORES",
            "state": "FL",
            "postal_code": "337852080",
            "telephone_number": "712-542-0123",
            "fax_number": "712-850-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH SERVICES SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "HAFFNER-SZYNSKIE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "712-542-0123"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Health Services South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.