Provider Demographics
NPI:1003421025
Name:PURE COMFORT HOSPICE CARE INC
Entity Type:Organization
Organization Name:PURE COMFORT HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-922-2622
Mailing Address - Street 1:5658 SEPULVEDA BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2951
Mailing Address - Country:US
Mailing Address - Phone:818-922-2622
Mailing Address - Fax:818-922-2602
Practice Address - Street 1:5658 SEPULVEDA BLVD STE 213
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2951
Practice Address - Country:US
Practice Address - Phone:818-922-2622
Practice Address - Fax:818-922-2602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based