Organization Active NPI

Pure Hydration & Wellness LLC

  • Nurse Practitioner
  • Coventry Township, OH
National Provider Identifier
1770201501
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PURE HYDRATION & WELLNESS LLC
Practice address
2850 S Arlington Rd Ste 102
Coventry Township, OH 44312-4719
Phone
(234) 280-2550
Fax
(234) 280-2570
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Tiara Broady, NPNPI 1780087478
Title
Owner
Phone
(234) 280-2550

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2850 S Arlington Rd Ste 102
Coventry Township, OH 44312-4719

Mailing address

2850 S Arlington Rd Ste 102
Coventry Township, OH 44312-4719
Phone (234) 280-2550

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL Direct

National Provider Directory

National Provider Directory

Locations

2850 S Arlington Rd
Ste 106
Coventry Township, OH 44312

2850 S Arlington Rd
Ste 102
Coventry Township, OH 44312
Phone (234) 280-2550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1770201501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S ARLINGTON RD STE 102",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124719",
            "telephone_number": "234-280-2550",
            "fax_number": "234-280-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S ARLINGTON RD STE 102",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124719",
            "telephone_number": "234-280-2550",
            "fax_number": "234-280-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HYDRATION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "BROADY",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "234-280-2550",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2850 S ARLINGTON RD",
            "address_2": "suite 106",
            "city": "AKRON",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coventry Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.