Pacifica Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PACIFICA HOME HEALTH, INC.

Practice address

4605 Lankershim Blvd Ste 609
North Hollywood, CA 91602-1818

Phone

(800) 340-2818

NPI assigned

Mar 8, 2021

Organization subpart

Yes

Parent organization

NOUEAVU SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Gagik Vardanyan

Title

Ceo

Phone

(800) 340-2818

Specialties & licenses 1

Addresses

Listed as

Pacifica Home Health, Inc.CCN 757106

Ownership

Proprietary

Certified

Aug 19, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1346835766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 609",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021818",
            "telephone_number": "800-340-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 609",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021818",
            "telephone_number": "800-340-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOUEAVU SERVICES, INC",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-340-2818"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.