PURE LIFE LLC (NPI# 1508283334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508283334 |
| Entity Type | Organization |
| Organization Name | PURE LIFE LLC |
| Other Organization Name | GODS COUNTRY PRIMARY HOME CARE SERVICES |
| Practice Address |
1705 19th St Ste A Hondo TX 78861-2301 |
| Practice Telephone | 8304262786 |
| Practice Fax Number | 8304264786 |
| Mailing Telephone | 8304262786 |
| Mailing Fax Number | 8304264786 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | MR. RAFIQ R VIRANI (PRESIDENT) |
| Authorized Official Telephone | 8304262786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 016337 | TX | Agencies |
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX DEPARTMENT OF AGING AND DISABILITY PAS LICENSE | 016337 | 01 |
| TX | ADDITIONAL TAXONOMY CODE | 3747P1801X | 01 |
| Other Name | Type Code |
|---|---|
| God's Country PHC Services | Doing Business As Name - Organization |
| Gods Country Primary Home Care Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265544 | Pure Life LLC | Community/Behavioral Health | 2513 Brave Heart Ave, North Las Vegas, NV 89031-0685 | 2018-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pure Life LLC | 2203 72nd Ave., Greeley, CO 80634 |
| Street Address |
1705 19TH ST STE A |
| City | HONDO |
| State | TX |
| Zip Code | 78861-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588065668 | 9903 LLC | Clinic/Center | 1705 19th St Ste A, Hondo, TX 78861-2301 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859413 | Nicole Rodriguez | Home Health Aide | 449 Cr 243, Hondo, TX 78861 | 2017-02-06 |
| 1174922504 | Fiesta Dental Pllc | Dentist | 166 Menefee St, Suite C, Hondo, TX 78861 | 2014-08-21 |
| 1386857415 | Hondo Hosptial Authority | Preventive Medicine | 3200 Ave E, Hondo, TX 78861 | 2007-05-07 |
| 1144379470 | Carolyn Elaine Diedrich | Registered Nurse | 405 E Hwy 90, Hondo, TX 78861 | 2007-01-09 |
| 1457428658 | All-tex Home Health Agency Inc | Home Health | 2003 Avenue G, Hondo, TX 78861 | 2006-11-30 |
| 1295800191 | John N Aalsma | Registered Nurse | 405 E. Hwy 90, Hondo, TX 78861 | 2006-11-24 |
| 1396825410 | Community Ems Incorporated | Ambulance | 3006 Ave. G., Hondo, TX 78861 | 2006-10-16 |
| 1497849855 | Delwin Dean Wiemers | Dentist | 3010 Ave G, Hondo, TX 78861 | 2006-10-02 |
| 1417066820 | H-e-b, Lp | Clinical Medical Laboratory | 609 19th St, Hondo, TX 78861 | 2006-08-30 |
| 1013020700 | Thomas Knopp Tompkins | Dentist | 501 20th Street, Hondo, TX 78861 | 2006-08-16 |
| Find all providers in zip 78861 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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|---|---|---|---|---|
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| 1801497052 | Kizzie Ann Coleman | Technician | 7000 W. I-30 Apt. 836, Royse City, TX 75189 | 2020-11-04 |
| 1881294494 | Ifeoma Anita Ojukwu | Technician | 10440 South Dr Apt 506, Houston, TX 77099-2809 | 2020-11-01 |
| 1932709979 | Shannon Vinson | Technician | 12118 Parade Park Place, Houston, TX 77047-3534 | 2020-10-29 |
| 1881293439 | April Kay Gonzalez | Technician | 613 Montreal Ct, Brownsville, TX 78526-5136 | 2020-10-23 |
| 1467050484 | Lrv Group | Technician | 1905 S Arden St, Harlingen, TX 78552-7461 | 2020-10-12 |
| 1902403645 | Jireh Healthcare Services LLC. | Technician | 3000 N Mccoll Rd Ste 6, Mcallen, TX 78501-1476 | 2020-10-06 |
| 1285231399 | Texas Primary Home Care LLC | Technician | 701 Hidden Trce, Weslaco, TX 78599-4054 | 2020-10-02 |
| 1508473091 | Cielito Lindo Primary Home Care LLC | Technician | 8012 W Expressway 83 Ste B, Mission, TX 78572-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| 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.