Provider Demographics
NPI:1043042062
Name:PURPOSE DRIVEN HOME HEALTH SERVICE
Entity type:Organization
Organization Name:PURPOSE DRIVEN HOME HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-557-4967
Mailing Address - Street 1:9165 OTIS AVE STE 171
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46216-2320
Mailing Address - Country:US
Mailing Address - Phone:317-557-4967
Mailing Address - Fax:317-942-0471
Practice Address - Street 1:9165 OTIS AVE STE 171
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-2320
Practice Address - Country:US
Practice Address - Phone:317-557-4967
Practice Address - Fax:317-942-0471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health