Organization Active NPI

Pacific Hands Home Care LLC

  • Home Health Agency
  • Methuen, MA
National Provider Identifier
1205518347
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PACIFIC HANDS HOME CARE LLC
Practice address
184 Pleasant Valley St Ste 1-102
Methuen, MA 01844-5855
Phone
(978) 601-9651
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Claudia Escoboza
Title
Owner
Phone
(978) 601-9651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

184 Pleasant Valley St Ste 1-102
Methuen, MA 01844-5855

Mailing address

184 Pleasant Valley St Ste 1-102
Methuen, MA 01844-5855
Phone (978) 601-9651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603001944 MA Part A Provider - Home Health Agency 3375990260 Practice locations: Methuen, MA

Home health agency certification: CCN 227775

Legal name
PACIFIC HANDS HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 20, 2024
Last certification
Apr 24, 2024
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 29, 2023 in MA
Enrollment address
184 Pleasant Valley St
Ste 1-102
Methuen, MA 01844-5855

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pacific Hands Home Care LLCCCN 227775 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Apr 20, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2291144Pacific Hands Home Care LLC184 Pleasant Valley St, Ste 1-102, Methuen, MA 01844Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

Locations

184 Pleasant Valley St
Ste 1-102
Methuen, MA 01844
Phone (978) 258-6591

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Claudia Escoboza Individual 5% Or Greater Direct Ownership InterestOwner Jun 29, 2023 50%
Corporate OfficerOwner/Vice President/Secretary Jun 29, 2023 50%
Operational/Managerial ControlOwner/Vice President/Secretary Jun 29, 2023 50%
Anthony Mwaura Individual 5% Or Greater Direct Ownership InterestOwner Jun 29, 2023 50%
Corporate OfficerOwner/President/Treasurer Jun 29, 2023 50%
Operational/Managerial ControlOwner/President/Treasurer Jun 29, 2023 50%

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1205518347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PLEASANT VALLEY ST STE 1-102",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445855",
            "telephone_number": "978-601-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PLEASANT VALLEY ST STE 1-102",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445855",
            "telephone_number": "978-601-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "ESCOBOZA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-601-9651"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.