MEDICARE: PURE REMEDY

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	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1861349045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE REMEDY

Provider Business Mailing Address
First Line	:	5851 WOODSTONE DR
Second Line	:
City	:	TROTWOOD
State	:	OH
Zip	:	45426-2109
Country	:	US
Telephone Number	:	937-469-0477
Fax Number	:

Provider Business Practice Location Address
First Line	:	5851 WOODSTONE DR
Second Line	:
City	:	TROTWOOD
State	:	OH
Zip	:	45426-2109
Country	:	US
Telephone Number	:	937-469-0477
Fax Number	:

Authorized Official
Title or Position	:	AGENCY OWNER
Name	:	MS. DWANNA TORY
Credential	:
Telephone Number	:	937-469-0477

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “PURE REMEDY ” Practice Location

Language	Start Address	Practice Location

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