Organization Active NPI

Pacific Coast Healthcare Services LLC

  • Home Health Agency
  • Hawthorne, CA
National Provider Identifier
1053198457
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 11, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.