Healthcare Provider Details
I. General information
NPI: 1760176028
Provider Name (Legal Business Name): PURE HEARTS HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2023
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8550 ARGYLE BUSINESS LOOP UNIT 905
JACKSONVILLE FL
32244-8914
US
IV. Provider business mailing address
6001 ARGYLE FOREST BLVD STE 21
JACKSONVILLE FL
32244-6127
US
V. Phone/Fax
- Phone: 904-385-8004
- Fax:
- Phone: 904-385-8004
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMARRA
MCGRAW
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 904-385-8004