Healthcare Provider Details

I. General information

NPI: 1275466260
Provider Name (Legal Business Name): PURPLE HAVEN CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3755 REDWINE RD APT 8107
ATLANTA GA
30344-5965
US

IV. Provider business mailing address

3755 REDWINE RD APT 8107
ATLANTA GA
30344-5965
US

V. Phone/Fax

Practice location:
  • Phone: 404-889-7402
  • Fax: 866-306-6219
Mailing address:
  • Phone: 404-889-7402
  • Fax: 866-306-6219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TYRUS TURNER
Title or Position: CEO
Credential:
Phone: 404-889-7402