Pacific Health System LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PACIFIC HEALTH SYSTEM LLC

Practice address

4625 E Broadway Blvd Ste 218
Tucson, AZ 85711-3576

Phone

(678) 480-5315

Fax

(678) 669-1693

NPI assigned

Sep 4, 2025

Organization subpart

No

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

Authorized official

Name

Remigius Imimole Idaewor

Title

President

Phone

(678) 480-5315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1407736135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E BROADWAY BLVD STE 218",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113576",
            "telephone_number": "678-480-5315",
            "fax_number": "678-669-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 E BROADWAY BLVD STE 218",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113576",
            "telephone_number": "678-480-5315",
            "fax_number": "678-669-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "IDAEWOR",
        "authorized_official_first_name": "REMIGIUS",
        "authorized_official_middle_name": "IMIMOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-480-5315"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Pacheco, MD
• Priscilla Elida Pacheco
• Reyna Elizabeth Pacheco
• Sharon Lynn Pacheco, M.S. OTR/L
• Stephanie Marie Pacheco, FNP - BC, FNP - C
• Nicholas John Pacione, CRNA
• Alice A Packard
• Brett Levi Packard, PTA
• Jason Matthew Packard
• Acacia Packer, DO

• Home Health Aide in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Home Health Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.