MEDICARE: PRIME COMFORT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1952257552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME COMFORT CARE LLC

Provider Business Mailing Address
First Line	:	15867 WHITCOMB ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-2668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15867 WHITCOMB ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-2668
Country	:	US
Telephone Number	:	404-632-0368
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDI WELLS-EVANS
Credential	:
Telephone Number	:	404-632-0368

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “PRIME COMFORT CARE LLC ” Practice Location

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