Provider Demographics
NPI:1295298099
Name:PURRE HOME CARE
Entity type:Organization
Organization Name:PURRE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:DECOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:HHA/CNA
Authorized Official - Phone:352-484-5487
Mailing Address - Street 1:2213 NW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-3112
Mailing Address - Country:US
Mailing Address - Phone:352-484-5487
Mailing Address - Fax:
Practice Address - Street 1:2213 NW 52ND ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-3112
Practice Address - Country:US
Practice Address - Phone:352-484-5487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health