Pristine Healthcare Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRISTINE HEALTHCARE SERVICES INC

Practice address

2823 Shadow Canyon LN
Katy, TX 77494-2425

Phone

(713) 261-9571

Fax

(281) 564-7326

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Joel Seraphin Ada

Title

Administrator

Phone

(713) 261-9571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1942665088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 SHADOW CANYON LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942425",
            "telephone_number": "713-261-9571",
            "fax_number": "281-564-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 SHADOW CANYON LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942425",
            "telephone_number": "713-261-9571",
            "fax_number": "281-564-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ADA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "SERAPHIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-261-9571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.