MEDICARE: PUREHEART HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251S00000X	Community/Behavioral Health Agency
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1356136980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUREHEART HOME CARE, LLC

Provider Business Mailing Address
First Line	:	3723 STANLEY CREEK DR
Second Line	:
City	:	MOUNT HOLLY
State	:	NC
Zip	:	28120-1303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3723 STANLEY CREEK DR
Second Line	:
City	:	MOUNT HOLLY
State	:	NC
Zip	:	28120-1303
Country	:	US
Telephone Number	:	781-813-9654
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HARSHKUMAR PATEL
Credential	:
Telephone Number	:	781-813-9654

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/24/2025

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