Healthcare Provider Details

I. General information

NPI: 1558045666
Provider Name (Legal Business Name): PURPOSE & PROMISE HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10483 N FLORIDA AVE UNIT 2
CITRUS SPRINGS FL
34434-3268
US

IV. Provider business mailing address

10483 N FLORIDA AVE UNIT 2
CITRUS SPRINGS FL
34434-3268
US

V. Phone/Fax

Practice location:
  • Phone: 352-322-8633
  • Fax:
Mailing address:
  • Phone: 352-322-8633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: CHLOE C EDWARDS
Title or Position: CEO
Credential:
Phone: 352-484-6647