Healthcare Provider Details

I. General information

NPI: 1841155421
Provider Name (Legal Business Name): PURE COMFORT SENIORS FIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3564 N RICHARDT AVE
INDIANAPOLIS IN
46226-5864
US

IV. Provider business mailing address

3564 N RICHARDT AVE
INDIANAPOLIS IN
46226-5864
US

V. Phone/Fax

Practice location:
  • Phone: 317-835-1110
  • Fax:
Mailing address:
  • Phone: 317-835-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: STACEY SATTERFIELD
Title or Position: OWNER/MANAGER
Credential:
Phone: 317-998-5296