Organization Active NPI

Pure Intentions Home Care LLC

  • In Home Supportive Care Agency
  • Pensacola, FL
National Provider Identifier
1912768359
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PURE INTENTIONS HOME CARE LLC
Practice address
774 Rosa Parks Cir
Pensacola, FL 32501-1681
Phone
(850) 525-5718
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Sharmaine Latrice DixonNPI 1871203802
Title
Owner Operator
Phone
(850) 525-5718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

774 Rosa Parks Cir
Pensacola, FL 32501-1681

Mailing address

774 Rosa Parks Cir
Pensacola, FL 32501-1681
Phone (850) 525-5718

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1912768359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 ROSA PARKS CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011681",
            "telephone_number": "850-525-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 ROSA PARKS CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011681",
            "telephone_number": "850-525-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE INTENTIONS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "SHARMAINE",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "850-525-5718"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.