Active NPI
Pure Peace LLC
- Home Health Aide
- Novi, MI
National Provider Identifier
1609626902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- PURE PEACE LLC
- Practice address
- 25510 Fountain Park Dr W Apt 278
Novi, MI 48375-2562 - Phone
- (248) 832-0223
- NPI assigned
- Mar 27, 2024
- Last updated
- Mar 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reina Ariana Rodriguez, CEO
- Title
- Owner/ Care Affiliate
- Phone
- (248) 832-0223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
25510 Fountain Park Dr W Apt 278
Novi, MI 48375-2562
Mailing address
25510 Fountain Park Dr W Apt 278
Novi, MI 48375-2562
Phone (248) 832-0223
National Provider Directory
National Provider DirectoryPractitioners & 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": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1609626902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25510 FOUNTAIN PARK DR W APT 278",
"city": "NOVI",
"state": "MI",
"postal_code": "483752562",
"telephone_number": "248-832-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25510 FOUNTAIN PARK DR W APT 278",
"city": "NOVI",
"state": "MI",
"postal_code": "483752562",
"telephone_number": "248-832-0223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE PEACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "REINA",
"authorized_official_middle_name": "ARIANA",
"authorized_official_title_or_position": "OWNER/ CARE AFFILIATE",
"authorized_official_telephone_number": "248-832-0223",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.