Provider Demographics
NPI:1447825294
Name:PURPLE HEARTS HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:PURPLE HEARTS HEALTH CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:229-337-5126
Mailing Address - Street 1:138 S LEE ST STE A
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3697
Mailing Address - Country:US
Mailing Address - Phone:229-380-0255
Mailing Address - Fax:229-380-4194
Practice Address - Street 1:111 HABITAT ST C1S
Practice Address - Street 2:SUITE C148
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-4303
Practice Address - Country:US
Practice Address - Phone:229-380-0255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health