- Enrollment id
- O20120703000270
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1225348600
- Multiple npi flag
- N
- Ccn
- 747809
- Associate id
- 0345405064
- Organization name
- PURITY HOME HEALTHCARE, INC.
- Doing business as name
- PURITY HOME HEALTHCARE
- Incorporation date
- 2010-08-03
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 400 CHISHOLM PL
- Address line 2
- STE. 304, RM# 104
- City
- PLANO
- State
- TX
- Zip code
- 750756938