Pure Haven Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PURE HAVEN HOME CARE LLC

Practice address

1666 S Dobson Rd Apt 4074
Mesa, AZ 85202-1614

Phone

(480) 999-1731

NPI assigned

Jan 23, 2025

Organization subpart

No

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

Authorized official

Name

Ahmed Ahmed

Title

Co-Owner

Phone

(480) 999-1731

Specialties & licenses 1

Addresses

Tax ID family

Pure Haven Home Care LLC2 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.

• Pure Haven Home Care LLC

  • In Home Supportive Care Agency
  • Mesa, AZ
  • NPI 1588476329
  NPD tax ID

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1962214304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 S DOBSON RD APT 4074",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021614",
            "telephone_number": "480-999-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 S DOBSON RD APT 4074",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021614",
            "telephone_number": "480-999-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HAVEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-999-1731"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall C Pulsipher, P.T
• Gary Thomas Purcell, M.D.
• Shanese Kym Purcell
• Pure Choices LLC
• Pure Haven Home Care LLC
• Pure West Solutions
• Purehearts Assisted Living LLC
• Vikramjit Purewal, DO
• Purpose Healing Center, LLC
• Purpose of Life Homecare Arizona LLC

• Home Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.