Provider Demographics
NPI:1073095410
Name:PUREPASSIONHOMECARE SERICES
Entity Type:Organization
Organization Name:PUREPASSIONHOMECARE SERICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-599-1233
Mailing Address - Street 1:142 BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08616
Mailing Address - Country:US
Mailing Address - Phone:609-599-1233
Mailing Address - Fax:609-599-1233
Practice Address - Street 1:142 BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08616
Practice Address - Country:US
Practice Address - Phone:609-599-1233
Practice Address - Fax:609-599-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-01
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health