Provider Demographics
NPI:1780215889
Name:PURE HEARTS HOME CARE LLC
Entity Type:Organization
Organization Name:PURE HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:CARE GIVER
Authorized Official - Phone:460-770-3226
Mailing Address - Street 1:3010 LYNDON B JOHNSON FWY FL 1200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2710
Mailing Address - Country:US
Mailing Address - Phone:214-710-2466
Mailing Address - Fax:
Practice Address - Street 1:3010 LBJ FWY FL 1200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-2710
Practice Address - Country:US
Practice Address - Phone:214-710-2466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health