Provider Demographics
NPI:1447858113
Name:PURE DEVOTION LLC
Entity type:Organization
Organization Name:PURE DEVOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASMYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-317-8273
Mailing Address - Street 1:190 SIERRA CT STE B204
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-7615
Mailing Address - Country:US
Mailing Address - Phone:866-610-3596
Mailing Address - Fax:
Practice Address - Street 1:190 SIERRA CT STE B204
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-7615
Practice Address - Country:US
Practice Address - Phone:866-610-3596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health