Purple Hearts Home Care LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

1180737 Issued in CT

Legal business name

PURPLE HEARTS HOME CARE LLC

Practice address

360 Bloomfield Ave
Suite 301
Windsor, CT 06095-2700

Phone

(860) 819-8954

NPI assigned

Oct 20, 2015

Organization subpart

Yes

Parent organization

PURPLE HEARTS HOMECAREAs reported in NPPES

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

Authorized official

Name

Mr. Samuel Twumasi, MSW

Title

Manager

Phone

(860) 310-5553

Specialties & licenses 1

Addresses

Other names 1

• Purple Hearts Home Care LLC Doing business as

Part of

Purple Hearts Home Care LLC

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1922470772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952700",
            "telephone_number": "860-819-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE",
            "address_2": "SUITE 301",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952700",
            "telephone_number": "860-819-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE HEARTS HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURPLE HEARTS HOMECARE",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "TWUMASI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-310-5553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CT",
            "license": "1180737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purple Hearts Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Windsor, CT
• Exclusive Provider Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.