PURE HEART HOME CARE OF ALABAMA, LLC (NPI# 1205242948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205242948 |
| Entity Type | Organization |
| Organization Name | PURE HEART HOME CARE OF ALABAMA, LLC |
| Practice Address |
107 B 14th Street Sw Decatur AL 35601 |
| Mailing Address |
Po Box 5423 Decatur AL 35601-0423 |
| Practice Telephone | 2563551120 |
| Practice Fax Number | 2566861676 |
| Mailing Telephone | 2563551120 |
| Mailing Fax Number | 2566861676 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | MR. CLAY NEW (PRESIDENT) |
| Authorized Official Telephone | 2562271699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
107 B 14TH STREET SW |
| City | DECATUR |
| State | AL |
| Zip Code | 35601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| 1336408830 | Mishanta Reyes | Obstetrics & Gynecology | 1215 7th St Se Fl 2, Decatur, AL 35601 | 2012-05-04 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1699138669 | From The Heart Enterprises, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2188 Riverbrook Rd, Decatur, GA 30035-2924 | 2016-03-29 |
| 1700248226 | Xtraordinary People Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Glennwood Rd Sw, Decatur, AL 35601-3932 | 2016-03-23 |
| 1750750923 | Church of Grace of The Christian Faith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Memorial Dr Nw, Decatur, AL 35601-2263 | 2015-09-17 |
| 1467798645 | Loyd Homes of Decatur, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 815 Sherman St Se, Decatur, AL 35601-3143 | 2012-12-17 |
| 1982958518 | Exceeding Your Expectations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2115 Nichols Ln, Decatur, GA 30032-5834 | 2012-11-05 |
| 1861746901 | As&c Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1607 Faye St Sw, Decatur, AL 35601-2732 | 2012-10-27 |
| 1013219450 | Adam and Eve Assisted Living Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5169 Covington Hwy, Decatur, GA 30035-2024 | 2010-11-17 |
| 1922310291 | Owls Retreat Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2858 Santa Barbara Dr, Decatur, GA 30032-3552 | 2010-07-02 |
| 1316279557 | Allegiant Service LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4323 Juneberry Ct, Decatur, GA 30034-6425 | 2010-02-12 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on PURE HEART HOME CARE OF ALABAMA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.