Pure Residential Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PURE RESIDENTIAL CARE LLC

Practice address

184 Pearl St Apt 413
Portland, ME 04101-3491

Phone

(603) 715-7305

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Gorette ByishimoNPI 1508542788

Title

Ceo

Phone

(603) 715-7305

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gorette Byishimo

  • Home Health Aide
  • Portland, ME
  • NPI 1508542788
  NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1972358646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PEARL ST APT 413",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013491",
            "telephone_number": "603-715-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PEARL ST APT 413",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013491",
            "telephone_number": "603-715-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BYISHIMO",
        "authorized_official_first_name": "GORETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-715-7305"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Puffer, RN
• Jennifer Pulas
• Robert Puleio, LCSW
• Carrie Yvonne Pulsifer
• Linnea Jan Purcell, LADC, MSW
• Pursuecare Me LLC
• Abby Purvis, RN
• Suzanne Pushard, LCSW
• Sandra T Putnam, APMHNP
• Q2 Counseling LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portland, ME
• Providers in Portland, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.