Provider Demographics
NPI:1689363376
Name:PURPOSE HEALTHCARE LLC
Entity Type:Organization
Organization Name:PURPOSE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-286-9538
Mailing Address - Street 1:8709 OLD MOUNT VERNON RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2013
Mailing Address - Country:US
Mailing Address - Phone:240-486-9538
Mailing Address - Fax:
Practice Address - Street 1:8709 OLD MOUNT VERNON RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2013
Practice Address - Country:US
Practice Address - Phone:240-486-9538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities