Purple Shield Medical LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PURPLE SHIELD MEDICAL LLC

Practice address

3649 Post Rd Ste 2
Warwick, RI 02886-7236

Phone

(508) 536-2730

Fax

(508) 675-9920

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Joseph MossNPI 1740832211

Title

President

Phone

(508) 728-4178

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Moss

  • Land Ambulance
  • Dighton, MA
  • NPI 1740832211
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1801487491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 POST RD STE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867236",
            "telephone_number": "508-536-2730",
            "fax_number": "508-675-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 POST RD STE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867236",
            "telephone_number": "508-536-2730",
            "fax_number": "508-675-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE SHIELD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-728-4178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychological Associates of Warwick II, LLC
• Psychologists at Jefferson Gateway, LLC
• Holly E Puleo, AU.D.
• Shoheera Punjwani, DO
• Matthew James Puopolo, PTA, LMT
• Purpose in Life LLC
• Quality Behavioral Health
• Kelly-Sue Lynne Quaranta
• Michael A Quarella, DO
• Michael Quas, M.D.

• All providers in Warwick, RI
• Home Health Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.