Organization
PURPLE ROSE CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JOHNSON MSW (CEO/ADMINISTRATOR)
(214) 476-5679
Entity
Organization
Contact information
Practice address
14241 DALLAS PARKWAY, SUITE 650, DALLAS, TX 75254-2936
(972) 728-6299
(972) 728-6298
Mailing address
14241 DALLAS PARKWAY, SUITE 650, DALLAS, TX 75254-2936
(972) 728-6299
(972) 728-6298
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017746
—
TX
05
—
339110401
—
TX
Enumeration date
02/08/2014
Last updated
02/17/2017
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