Healthcare Provider Details

I. General information

NPI: 1508750027
Provider Name (Legal Business Name): PURE AID INTEGRATED HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 GAGE ST # 321
WORCESTER MA
01605-3014
US

IV. Provider business mailing address

571 BOSTON TPKE STE 3
SHREWSBURY MA
01545-5977
US

V. Phone/Fax

Practice location:
  • Phone: 617-294-9851
  • Fax: 508-304-9698
Mailing address:
  • Phone: 617-294-9851
  • Fax: 617-286-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM PARKER
Title or Position: OWNER
Credential: MBA
Phone: 617-294-9851