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NPI Code Detail

MEDICARE: PURECARE LLC

MEDICARE: PURECARE 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
1104100000XSocial Worker
2133N00000XNutritionist
3174200000XMeals Provider
4227900000XRegistered Respiratory Therapist
5253Z00000XIn Home Supportive Care Agency
6343900000XNon-emergency Medical Transport (VAN)
7372500000XChore Provider
8374U00000XHome Health Aide
9376J00000XHomemaker
10376K00000XNurse's Aide
11385H00000XRespite Care
12385HR2055XChild Mental Illness Respite Care
13385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
14385HR2065XChild Physical Disabilities Respite Care
15251E00000XHome Health Agency

General Provider Information

NPI Number : 1982213526
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURECARE LLC
Provider Business Mailing Address
First Line : 2734 WESTMAR CT APT 606
Second Line :
City : TOLEDO
State : OH
Zip : 43615-2095
Country : US
Telephone Number : 419-344-8144
Fax Number :
Provider Business Practice Location Address
First Line : 5242 ANGOLA RD STE 170
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6336
Country : US
Telephone Number : 419-452-2987
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : DR. TAHA ALYOUSEF
Credential : PHD
Telephone Number : 419-326-5329
Provider Enumeration Date : 07/29/2020
Last Update Date : 07/29/2020

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Directions to “PURECARE LLC ” Practice Location

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