Organization
PURE HEART PROVIDER & SITTER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE ANDERSON CNA (OWNER)
(504) 417-4329
Entity
Organization
Contact information
Practice address
29547 HIGHWAY 11, PORT SULPHUR, LA 70083-3039
(504) 417-4329
Mailing address
29547 HWY 11, PORT SULPHUR, LA 70083
(504) 417-4329
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11386651
MILITARY HEALTHCARE PROVIDER
LA
01
—
113866551
CONTRACTOR
LA
Enumeration date
07/23/2021
Last updated
08/14/2023
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