MEDICARE: PURPOSE HEALTHCARE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780452961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	3127 BERKLEY POINTE DR
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-4880
Country	:	US
Telephone Number	:	614-556-9145
Fax Number	:

Provider Business Practice Location Address
First Line	:	3127 BERKLEY POINTE DR
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-4880
Country	:	US
Telephone Number	:	614-556-9145
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MERCY NYEMI-TEI
Credential	:
Telephone Number	:	614-556-9145

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “PURPOSE HEALTHCARE LLC ” Practice Location

Language	Start Address	Practice Location

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