Pacific Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PACIFIC CARE LLC

Practice address

1916 E 86TH St # 410
Bloomington, MN 55425-2119

Phone

(612) 987-8534

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Jameel MohamedNPI 1427627793

Title

Owner

Phone

(612) 987-8534

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jameel Mohamed

  • Foster Care Agency
  • Farmington, MN
  • NPI 1427627793
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1063148138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 E 86TH ST # 410",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 E 86TH ST # 410",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252119",
            "telephone_number": "612-987-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "JAMEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-987-8534"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oxboro Family Chiropractic
• Emily Rita Oyaas
• Rose Moraa Oyaro
• Tolulope A Oyelowo, D.C.
• Jenita Lee Pace, L.P.C.
• Anne Marie Packard Spicer, D.C.
• Courtney Paige Paczkowski
• Kimberly Yailin Padilla
• Caroline Mary Padrnos, MS, LADC
• Rebecca Pagel

• Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.