Organization Active NPI

Pahua Health Inc

  • In Home Supportive Care Agency
  • Clarksville, TN
National Provider Identifier
1205566288
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PAHUA HEALTH INC
Doing business as
Interim Healthcare of Montgomery County
Practice address
540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006
Phone
(818) 317-3013
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Erica Pahua
Title
Owner/Administrator
Phone
(818) 317-3013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006

Mailing address

4484 N Pinson Rd
Portland, TN 37148-8565
Phone (818) 317-3013

Other names 1

  • Interim Healthcare of Montgomery County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of Montgomery County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1205566288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4484 N PINSON RD",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371488565",
            "telephone_number": "818-317-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HERITAGE POINTE DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421006",
            "telephone_number": "818-317-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHUA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "PAHUA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-317-3013"
    },
    "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": "Interim Healthcare of Montgomery County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Montgomery County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.