Organization Active NPI

Purple Heart Home Care LLC

  • In Home Supportive Care Agency
  • Vicksburg, MS
National Provider Identifier
1902726904
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PURPLE HEART HOME CARE LLC
Practice address
4316 Knights LN
Vicksburg, MS 39180-8966
Phone
(601) 529-9512
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Douglas Busari
Title
Owner/President
Phone
(601) 529-9512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4316 Knights LN
Vicksburg, MS 39180-8966

Mailing address

3442 Halls Ferry Rd
Vicksburg, MS 39180-5504
Phone (601) 529-9512

National Provider Directory

National Provider Directory

Locations

3442 Halls Ferry Rd
Vicksburg, MS 39180

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1902726904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 HALLS FERRY RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805504",
            "telephone_number": "601-529-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 KNIGHTS LN",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391808966",
            "telephone_number": "601-529-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE HEART HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BUSARI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "601-529-9512"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.