Provider Demographics
NPI:1588376271
Name:PURE HEALTH CARE LLC
Entity type:Organization
Organization Name:PURE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF THE ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:FUREEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-665-1800
Mailing Address - Street 1:1605 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-2575
Mailing Address - Country:US
Mailing Address - Phone:201-665-1800
Mailing Address - Fax:201-801-4741
Practice Address - Street 1:1605 JOHN ST
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-2575
Practice Address - Country:US
Practice Address - Phone:201-665-1800
Practice Address - Fax:201-801-4741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies