Pacific Kare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PACIFIC KARE LLC

Practice address

1645 Wintergreen LN Unit D
Corona, CA 92879-2670

Phone

(562) 228-9634

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Brandon Ryan Moerke

Title

Managing Partner

Phone

(562) 228-9634

Specialties & licenses 2

Addresses

Other names 1

• Acti-Kare Responsive In-Home Care Doing business as

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1104518851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 WINTERGREEN LN UNIT D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792670",
            "telephone_number": "562-228-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 WINTERGREEN LN UNIT D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792670",
            "telephone_number": "562-228-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC KARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "MOERKE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "562-228-9634"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ariana Padilla
• Marco A Paez, M.D.

• In Home Supportive Care Agency in Corona, CA
• Providers in Corona, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.