Provider Demographics
NPI:1235681099
Name:PURCELL HOLDINGS, L.L.C.
Entity Type:Organization
Organization Name:PURCELL HOLDINGS, L.L.C.
Other - Org Name:NIACARE IN-HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:240-205-7188
Mailing Address - Street 1:6710 OXON HILL RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1117
Mailing Address - Country:US
Mailing Address - Phone:240-205-7188
Mailing Address - Fax:240-414-1253
Practice Address - Street 1:1800 DIAGONAL RD
Practice Address - Street 2:SUITE 600
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2840
Practice Address - Country:US
Practice Address - Phone:240-205-7188
Practice Address - Fax:240-414-1253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care