Healthcare Provider Details

I. General information

NPI: 1265345714
Provider Name (Legal Business Name): PURE COMFORT HOMECARE OF NORTH CAROLINA, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 ARROWRIDGE BOULEVARD SUITE 140
CHARLOTTE NC
28273-5873
US

IV. Provider business mailing address

8201 ARROWRIDGE BOULEVARD SUITE 140
CHARLOTTE NC
28273
US

V. Phone/Fax

Practice location:
  • Phone: 704-981-8426
  • Fax: 839-200-4875
Mailing address:
  • Phone: 704-981-8426
  • Fax: 839-200-4875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NOTAYA SHERIKA LOGAN
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 704-981-8426