Pacific Home Healthcare

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PACIFIC HOME HEALTHCARE

Practice address

655 N Central Ave FL 17
Glendale, CA 91203-1439

Phone

(818) 649-7511

NPI assigned

Dec 8, 2014

Last updated

Dec 8, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley Lauren Paige Hickman

Title

Owner

Phone

(818) 649-7511

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1053719021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE FL 17",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031439",
            "telephone_number": "818-649-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE FL 17",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031439",
            "telephone_number": "818-649-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LAUREN PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-649-7511"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Pacific Clinics
• Pacific Dental Care
• Pacific Health Medical Group
• Pacific Hills Neurosurgical Medical Group, Inc
• Pacific Medical Pharmacy Inc
• Pacific Medical Pharmacy Inc (Pacific Medical Pharmacy)
• Pacific Multi Specialty Medical Group, Inc.
• Pacific Park Healthcare Center LLC
• Pacific Shores Medical Group, Inc.

• Health Maintenance Organization in Glendale, CA
• Providers in Glendale, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.