OrganizationActive
Pure Divine Independent Care LLC
NPI 1124881966 · In Home Supportive Care Agency · Clarksville, TN
Pure Divine Independent Care LLC is a In Home Supportive Care Agency organization in Clarksville, TN (NPI 1124881966).
Provider details
- NPI number
- 1124881966
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tiffany Green, Chief Executive Officer(931) 367-4430
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1860 Wilma Rudolph Blvd # 126p
Clarksville, TN 37040-6750
Phone: (931) 367-4430
Street-level locationGet directions
Mailing address
1960 Madison St Ste J178
Clarksville, TN 37043-8063
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Pure Divine Independent Care LLC's NPI number?
- Pure Divine Independent Care LLC's National Provider Identifier (NPI) is 1124881966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Divine Independent Care LLC?
- Pure Divine Independent Care LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Pure Divine Independent Care LLC located?
- Pure Divine Independent Care LLC's practice location on file with NPPES is 1860 Wilma Rudolph Blvd # 126p, Clarksville, TN 37040-6750.
- What is Pure Divine Independent Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Divine Independent Care LLC is (931) 367-4430.
- Who is the authorized official for Pure Divine Independent Care LLC?
- The authorized official listed on Pure Divine Independent Care LLC's NPPES record is Tiffany Green, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Divine Independent Care LLC's NPI active?
- Yes — Pure Divine Independent Care LLC's NPI (1124881966) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.