Provider Demographics
NPI:1972354645
Name:PURPLE HEART HOMECARE LLC
Entity Type:Organization
Organization Name:PURPLE HEART HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAILY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-806-3807
Mailing Address - Street 1:5722 CHEVROLET BLVD # B
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-1412
Mailing Address - Country:US
Mailing Address - Phone:216-466-7404
Mailing Address - Fax:216-249-9176
Practice Address - Street 1:5722 CHEVROLET BLVD # B
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-1412
Practice Address - Country:US
Practice Address - Phone:216-466-7404
Practice Address - Fax:216-249-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care