Organization Active NPI

Pacific Home Care Associates Inc

Doing business as Pacific Home Health and Hospice

  • Home Health Agency
  • Springfield, OR
National Provider Identifier
1184683336
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
131386 Issued in OR
Legal business name
PACIFIC HOME CARE ASSOCIATES INC
Doing business as
Pacific Home Health and Hospice
Practice address
838 Beltline Rd
Springfield, OR 97477-1091
Phone
(541) 746-0482
Fax
(541) 746-1685
NPI assigned
Mar 17, 2006
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Donald A Freeman, RN
Title
Ceo
Phone
(405) 878-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 131386 OR Primary

Addresses

Primary practice location

838 Beltline Rd
Springfield, OR 97477-1091

Mailing address

838 Beltline Rd
Springfield, OR 97477-1091
Phone (541) 746-0482

Other names 1

  • Pacific Home Health and Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

1957 Thompson Rd
#2A
Coos Bay, OR 97420
Phone (541) 751-9868

375 Park Ave
Ste 6
Coos Bay, OR 97420
Phone (541) 266-7005

2117 Union Ave
North Bend, OR 97459
Phone (541) 756-5712

1717 Centennial Blvd
#2A
Springfield, OR 97477
Phone (541) 746-0482

1717 Centennial Blvd
Ste 4
Springfield, OR 97477
Phone (541) 505-2756

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1184683336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-746-0482",
            "fax_number": "541-746-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-746-0482",
            "fax_number": "541-746-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOME CARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-878-0202",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "131386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.