Purpose Driven Adult Services, Inc

LBN: Purpose Driven Adult Services, Inc
Purpose Driven Adult Services, Inc is an health care organization with primary practice located at 4010 Moorpark Ave Ste 118 , San Jose CA 95117-1804. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Purpose Driven Adult Services, Inc can be contacted via phone (510) 474-9952, or through Paxton, Ayana Lee via phone (510) 474-9952.

Contact Information

Primary practice address
4010 Moorpark Ave Ste 118 San Jose CA 95117-1804
Phone: (510) 474-9952
Fax: (510) 217-4243
Website:
Map and Directions
Authorized official contact:
Name: Paxton, Ayana Lee Licensed Clinical Social Worker (LCSW)
Phone: (510) 474-9952

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1417661695
LBN Legal business name Purpose Driven Adult Services, Inc
DBA Doing business as
Authorized official Paxton, Ayana Lee Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2023
Last updated Jan 11th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1417661695 NPPES
California MEDICAID 1891268538

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