Healthcare Provider Details

I. General information

NPI: 1942155114
Provider Name (Legal Business Name): PUREHAVEN HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4139 WILLIAMS ST
DEARBORN HEIGHTS MI
48125-2751
US

IV. Provider business mailing address

4139 WILLIAMS ST
DEARBORN HEIGHTS MI
48125-2751
US

V. Phone/Fax

Practice location:
  • Phone: 734-262-5082
  • Fax:
Mailing address:
  • Phone: 734-262-5082
  • Fax:

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: JODIANN JAMES
Title or Position: OWNER
Credential: RN
Phone: 313-285-4897