Healthcare Provider Details

I. General information

NPI: 1629983390
Provider Name (Legal Business Name): PURECAREHC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1378 THAIS LN
HAYWARD CA
94544-4355
US

IV. Provider business mailing address

1378 THAIS LN
HAYWARD CA
94544-4355
US

V. Phone/Fax

Practice location:
  • Phone: 510-857-7880
  • Fax:
Mailing address:
  • Phone: 510-857-7880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RUBY RUBIO
Title or Position: SECRETARY/TREASURER
Credential: LVN
Phone: 510-857-7880