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NPI Code Detail

MEDICARE: PURPLE HAVEN CARE GROUP LLC

MEDICARE: PURPLE HAVEN CARE GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1275466260
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURPLE HAVEN CARE GROUP LLC
Provider Business Mailing Address
First Line : 3755 REDWINE RD APT 8107
Second Line :
City : ATLANTA
State : GA
Zip : 30344-5965
Country : US
Telephone Number : 404-889-7402
Fax Number : 866-306-6219
Provider Business Practice Location Address
First Line : 3755 REDWINE RD APT 8107
Second Line :
City : ATLANTA
State : GA
Zip : 30344-5965
Country : US
Telephone Number : 404-889-7402
Fax Number : 866-306-6219
Authorized Official
Title or Position : CEO
Name : TYRUS TURNER
Credential :
Telephone Number : 404-889-7402
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “PURPLE HAVEN CARE GROUP LLC ” Practice Location

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