Provider Demographics
NPI:1760176028
Name:PURE HEARTS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:PURE HEARTS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-385-8004
Mailing Address - Street 1:8550 ARGYLE BUSINESS LOOP UNIT 905
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-8914
Mailing Address - Country:US
Mailing Address - Phone:904-385-8004
Mailing Address - Fax:
Practice Address - Street 1:8550 ARGYLE BUSINESS LOOP UNIT 905
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-8914
Practice Address - Country:US
Practice Address - Phone:904-385-8004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care