Pure Legacy Community Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PURE LEGACY COMMUNITY CARE

Practice address

1005 Shar Lane Blvd
Millville, NJ 08332-3974

Phone

(856) 265-8312

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Terea Jaquil Jones

Title

Owner

Phone

(856) 265-8312

Specialties & licenses 1

Addresses

Other names 1

• Pure Legacy Community Care Former legal business name

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1851114540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SHAR LANE BLVD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323974",
            "telephone_number": "856-265-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SHAR LANE BLVD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323974",
            "telephone_number": "856-265-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LEGACY COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TEREA",
        "authorized_official_middle_name": "JAQUIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-265-8312"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Legacy Community Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Millville, NJ
• Providers in Millville, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.