Pure Faith House Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PURE FAITH HOUSE INC

Practice address

455 Algonquin Rd
Hampton, VA 23661-1515

Phone

(757) 232-2146

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney D Harper

Title

Ceo/Program Director

Phone

(757) 232-2146

Specialties & licenses 1

Addresses

Tax ID family

Pure Faith House Inc2 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.

• Pure Faith House Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Hampton, VA
  • NPI 1467233817
  NPD tax ID

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1851179816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ALGONQUIN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611515",
            "telephone_number": "757-232-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ALGONQUIN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611515",
            "telephone_number": "757-232-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE FAITH HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "757-232-2146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Allison Puckett, M.ED.
• Phyllis E Pugh, LPC, CSAC
• April Danielle Pulver
• Kayla Purcell
• Pure Faith House Inc
• Purelife Healthcare Services LLC
• Sonia Purkey, LCSW
• Dakarie Amon Purnell
• Lyle Purnell, MSW/LMSW
• Latoya Renee Puryear

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hampton, VA
• Providers in Hampton, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.