Pur-Pus LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PUR-PUS LLC

Doing business as

Pur Pus Supported Living
Pur- Pus Supported Living

Practice address

5150 E Main St Lowr Level
Whitehall, OH 43213-2441

Phone

(614) 946-5504

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Tomika N Gordon

Title

Managing Member

Phone

(614) 671-1868

Specialties & licenses 5

Addresses

Other names 2

• Pur Pus Supported Living Doing business as
• Pur- Pus Supported Living Doing business as

Tax ID family

Pur Pus Supported Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pur-Pus Supported Living

  • Home Health Agency
  • Columbus, OH
  • NPI 1346095395
  NPD tax ID

Locations

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1659138964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 WESTPHAL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272040",
            "telephone_number": "614-946-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST LOWR LEVEL",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-946-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5180 E Main St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "OH",
            "postal_code": "432132436",
            "country_code": "US",
            "telephone_number": "614-671-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUR-PUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TOMIKA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-671-1868"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pur Pus Supported Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pur- Pus Supported Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Chantel Praylow, RN
• Anthony Presley, LSW
• Lena Renee Tona Prince, QMHS
• Michaela Lynn Prince
• Alaina Pryor
• E'Shantali Purdue
• Monique Pursley
• Hari Pyakurel
• David Quartey
• Tonya J Queen

• Home Health Agency in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Home Health Agency in Ohio

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

Verify at the official NPI Registry.