NPIMap

Organization Active NPI

Purna Care Services

  • Case Manager/Care Coordinator
  • Gaithersburg, MD
National Provider Identifier
1861920035
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PURNA CARE SERVICES
Practice address
9711 Washingtonian Blvd # 505
Gaithersburg, MD 20878-7365
Phone
(240) 390-6298
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Deneen Frazier
Title
Owner
Phone
(240) 388-1642

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

9711 Washingtonian Blvd # 505
Gaithersburg, MD 20878-7365

Mailing address

3540 Crain Hwy Ste 484
Bowie, MD 20716-1303

Other practice location 1

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

Other practice location 2

6710 Oxon Hill Rd Ste 210
Oxon Hill, MD 20745-1124
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.

Locations

9711 Washingtonian Blvd
#505
Gaithersburg, MD 20878
Phone (240) 366-4252

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1861920035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CRAIN HWY STE 484",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161303"
        },
        {
            "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": "240-390-6298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 Crain Hwy Ste 484",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207161303",
            "country_code": "US",
            "telephone_number": "240-390-6298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6710 Oxon Hill Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451124",
            "country_code": "US",
            "telephone_number": "240-390-6298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURNA CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "DENEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-388-1642"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 15, 2021; 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.