Pacific Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

200833101772 Issued in OH

Legal business name

PACIFIC HOME HEALTH SERVICES LLC

Practice address

2999 E Dublin Granville Rd Ste 300
Columbus, OH 43231-4030

Phone

(614) 882-1038

Fax

(614) 882-4885

NPI assigned

Jan 3, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Duran Guled

Title

Owner /Ceo

Phone

(614) 882-1038

Specialties & licenses 2

Addresses

Other names 1

• Pacific Home Health Services LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368274

Legal name

PACIFIC HOME HEALTH SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 9, 2009

Last certification

Aug 23, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

2999 East Dublin Granville Rd
Suite 300
Columbus, OH 43231

Listed as

Pacific Home Health Services, LLCCCN 368274

Ownership

Proprietary

Certified

Nov 9, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1174769707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 E DUBLIN GRANVILLE RD STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314030",
            "telephone_number": "614-882-1038",
            "fax_number": "614-882-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 E DUBLIN GRANVILLE RD STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314030",
            "telephone_number": "614-882-1038",
            "fax_number": "614-882-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-03",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "GULED",
        "authorized_official_first_name": "DURAN",
        "authorized_official_title_or_position": "OWNER /CEO",
        "authorized_official_telephone_number": "614-882-1038",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "200833101772",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Home Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Pace
• Therese Bernadette Pace, CNS-BC
• Caitlin Woulfe Pacheco
• Maria Pacheco
• Pacific Home Health Care, LTD
• Virginia Paciorek, ED.S.
• Andrew Peter Pacitti, D.O.
• Alyssa Pack
• Angela Pack, CT, LPC
• Connie Pack

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.