MEDICARE: PURPOSE DRIVEN CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	253Z00000X	In Home Supportive Care Agency
4	261QA0600X	Adult Day Care Clinic/Center
5	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
6	320700000X	Physical Disabilities Residential Treatment Facility
7	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1770456659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSE DRIVEN CARE INC

Provider Business Mailing Address
First Line	:	2711 E JEFFERSON AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-4105
Country	:	US
Telephone Number	:	248-946-9595
Fax Number	:	800-524-1161

Provider Business Practice Location Address
First Line	:	19601 ORLEANS ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48203-1351
Country	:	US
Telephone Number	:	248-946-9595
Fax Number	:	800-524-1161

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JUDY BURTON
Credential	:	NURSE MANAGER
Telephone Number	:	248-946-9595

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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Directions to “PURPOSE DRIVEN CARE INC ” Practice Location

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