MEDICARE: PRISTINE PERSONAL CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	3747A0650X	Attendant Care Provider
3	3747P1801X	Personal Care Attendant
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1609661263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRISTINE PERSONAL CARE

Provider Business Mailing Address
First Line	:	1951 N JUPITER RD
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-2177
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 N JUPITER RD
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-2177
Country	:	US
Telephone Number	:	469-444-7269
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VRAJESH PATEL
Credential	:
Telephone Number	:	469-444-7269

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “PRISTINE PERSONAL CARE ” Practice Location

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