Organization Active NPI

Purna Care Services

  • Community/Behavioral Health Agency
  • Gaithersburg, MD
National Provider Identifier
1831834910
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PURNA CARE SERVICES
Practice address
9711 Washingtonian Blvd # 505
Gaithersburg, MD 20878-7365
Phone
(240) 366-4252
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Deneen Frazier
Title
Ceo
Phone
(240) 390-6298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9711 Washingtonian Blvd # 505
Gaithersburg, MD 20878-7365

Mailing address

3540 Crain Hwy # 484
Bowie, MD 20716-1303
Phone (240) 390-6298

National Provider Directory

National Provider Directory
Tax ID family
Purna Care Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1831834910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CRAIN HWY # 484",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161303",
            "telephone_number": "240-390-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 WASHINGTONIAN BLVD # 505",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208787365",
            "telephone_number": "240-366-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURNA CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-17",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "DENEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-390-6298"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.