Pristine Residential Care

LBN: Pristine Residential Care
Pristine Residential Care is an health care organization with primary practice located at 709 Lodge Ave , Toledo OH 43609-2915. The organization recently has 7 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Home Health is the primary health care specialty. Pristine Residential Care can be contacted via phone (567) 702-1078, or through Clark, Demetria via phone (567) 702-1078.

Contact Information

Primary practice address
709 Lodge Ave Toledo OH 43609-2915
Phone: (567) 702-1078
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Demetria
Phone: (567) 702-1078

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Transportation Services / Secured Medical Transport (VAN) 343800000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1699499798
LBN Legal business name Pristine Residential Care
DBA Doing business as
Authorized official Clark, Demetria
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2022
Last updated Oct 3rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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