Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pure Divine Independent Care LLC

Organization In Home Supportive Care Agency · NPI 1124881966

Pure Divine Independent Care LLC is an In Home Supportive Care Agency in Clarksville, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1860 Wilma Rudolph Blvd # 126P
Clarksville, TN 37040-6750
Phone: (931) 367-4430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1124881966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Green — Chief Executive Officer · (931) 367-4430
NPI enumeratedFebruary 5, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address1960 Madison St Ste J178, Clarksville, TN 37043-8063

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