PURE DIVINE INDEPENDENT CARE LLC
NPI 1124881966
In Home Supportive Care in Clarksville, TN

Q: What is Pure Divine Independent Care LLC's NPI number?

The NPI number for Pure Divine Independent Care LLC is 1124881966. It was assigned to this organization in the NPPES registry on February 5, 2024.

Q: What is Pure Divine Independent Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since February 05, 2024

1860 WILMA RUDOLPH BLVD # 126P, CLARKSVILLE, TN 37040(931) 367-4430 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pure Divine Independent Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE DIVINE INDEPENDENT CARE LLC (NPI 1124881966) is a healthcare organization registered as an in home supportive care in Clarksville, Tennessee and active in the NPI registry since February 2024. The organization lists Tiffany Green, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124881966

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NamePURE DIVINE INDEPENDENT CARE LLC

Location Address1860 WILMA RUDOLPH BLVD # 126PClarksville, TN 37040-6750

Mailing Address1960 Madison St Ste J178Clarksville, TN 37043-8063 · (615) 346-5558

Phone(931) 367-4430

Organization SubpartNo

Authorized OfficialTiffany GreenChief Executive Officer · (931) 367-4430

Enumeration DateFebruary 5, 2024

Last NPPES UpdateAugust 29, 2024

NPPES CertifiedAugust 29, 2024

✔ NPI 1124881966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1860 WILMA RUDOLPH BLVD # 126P, Clarksville, TN 37040

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Divine Independent Care LLC's NPI number?

The NPI number for Pure Divine Independent Care LLC is 1124881966. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is Pure Divine Independent Care LLC located?

Pure Divine Independent Care LLC is located at 1860 Wilma Rudolph Blvd # 126P, Clarksville, TN 37040. The listed phone number is (931) 367-4430.

What is Pure Divine Independent Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Pure Divine Independent Care LLC was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.