Pure Diversity Homemaker Companion Service, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

233943 Issued in FL

Legal business name

PURE DIVERSITY HOMEMAKER COMPANION SERVICE, LLC

Practice address

1061 Maitland Center Commons Blvd
Suite # 214
Maitland, FL 32751-7435

Phone

(407) 775-1502

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Miss Latanya Lavette Magwood, NURSES ASSISTANT

Title

HHA/Owner

Phone

(407) 775-1502

Specialties & licenses 1

Addresses

Other names 1

• none Other name

Locations

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1598208688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 MAITLAND CENTER COMMONS BLVD",
            "address_2": "SUITE # 214",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517435",
            "telephone_number": "407-775-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MAITLAND CENTER COMMONS BLVD",
            "address_2": "SUITE # 214",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517435",
            "telephone_number": "407-775-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DIVERSITY HOMEMAKER COMPANION SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "MAGWOOD",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "HHA/OWNER",
        "authorized_official_telephone_number": "407-775-1502",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSES ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Psychiatric Affiliates, P.a.
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• Wendy Rene Pugh, L.I.S.W.
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• Ajay Purohit
• Timothy Jay Pursley, M.D.
• Floriano Putigna, DO
• Bouchra Qmichou

• Home Health Agency in Maitland, FL
• Providers in Maitland, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.