Provider Demographics
NPI:1619276441
Name:PURPLE HEARTS HOME CARE
Entity type:Organization
Organization Name:PURPLE HEARTS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSES ASSISTANT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:216-673-8570
Mailing Address - Street 1:939 E 146TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-3703
Mailing Address - Country:US
Mailing Address - Phone:216-673-8570
Mailing Address - Fax:
Practice Address - Street 1:939 E 146TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-3703
Practice Address - Country:US
Practice Address - Phone:216-673-8570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health