Provider Demographics
NPI:1982585071
Name:PURE COMFORT HOMECARE
Entity type:Organization
Organization Name:PURE COMFORT HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NOTAYA
Authorized Official - Middle Name:SHEIKA
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:839-248-0433
Mailing Address - Street 1:1974 CAROLINA PLACE DRIVE
Mailing Address - Street 2:SUITE 200 E
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6997
Mailing Address - Country:US
Mailing Address - Phone:839-248-0433
Mailing Address - Fax:839-200-4875
Practice Address - Street 1:1974 CAROLINA PLACE DRIVE
Practice Address - Street 2:SUITE 200 E
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6997
Practice Address - Country:US
Practice Address - Phone:839-248-0433
Practice Address - Fax:839-200-4875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health