Provider Demographics
NPI:1972395036
Name:1 PURE FAMILY HOMECARE LLC
Entity type:Organization
Organization Name:1 PURE FAMILY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-541-0330
Mailing Address - Street 1:3702 LINDHOLM RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5129
Mailing Address - Country:US
Mailing Address - Phone:216-541-0330
Mailing Address - Fax:
Practice Address - Street 1:12114 LENACRAVE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-4445
Practice Address - Country:US
Practice Address - Phone:216-541-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)