Active NPI
Pacific Coast Healthcare Services LLC
- Home Health Agency
- Hawthorne, CA
National Provider Identifier
1053198457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PACIFIC COAST HEALTHCARE SERVICES LLC
- Practice address
- 13658 Hawthorne Blvd Ste 301
Hawthorne, CA 90250-5814 - Phone
- (310) 487-5674
- Fax
- (310) 861-1469
- NPI assigned
- Sep 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Benedicta Ngozi Ogoke
- Title
- Owner/Ceo
- Phone
- (310) 487-5674
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
13658 Hawthorne Blvd Ste 301
Hawthorne, CA 90250-5814
Mailing address
13658 Hawthorne Blvd Ste 301
Hawthorne, CA 90250-5814
Phone (310) 487-5674
National Provider Directory
National Provider DirectoryLocations
13658 Hawthorne Blvd
Ste 301
Hawthorne, CA 90250
Phone (310) 487-5674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1053198457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13658 HAWTHORNE BLVD STE 301",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505814",
"telephone_number": "310-487-5674",
"fax_number": "310-861-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13658 HAWTHORNE BLVD STE 301",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505814",
"telephone_number": "310-487-5674",
"fax_number": "310-861-1469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC COAST HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "OGOKE",
"authorized_official_first_name": "BENEDICTA",
"authorized_official_middle_name": "NGOZI",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "310-487-5674",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.