Provider Demographics
NPI:1417094152
Name:PURITY HEALTHCARE INC.
Entity Type:Organization
Organization Name:PURITY HEALTHCARE INC.
Other - Org Name:PURITY HEALTH CARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILOU
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-255-4360
Mailing Address - Street 1:4615 SOUTHWEST FREEWAY SUITE #750
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027
Mailing Address - Country:US
Mailing Address - Phone:713-255-4360
Mailing Address - Fax:713-255-4366
Practice Address - Street 1:4615 SOUTHWEST FREEWAY SUITE #750
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-255-4360
Practice Address - Fax:713-255-4366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health