Active NPI
Pacifica Home Care LLC
- Assisted Living Facility
- Mission Viejo, CA
National Provider Identifier
1457057119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PACIFICA HOME CARE LLC
- Practice address
- 23711 Via la Coruna
Mission Viejo, CA 92691-3523 - Phone
- (949) 874-8777
- NPI assigned
- Feb 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Lucero
- Title
- Licensee
- Phone
- (949) 874-8777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
23711 Via la Coruna
Mission Viejo, CA 92691-3523
Mailing address
23711 Via la Coruna
Mission Viejo, CA 92691-3523
Phone (949) 874-8777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675382400000",
"number": "1457057119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23711 VIA LA CORUNA",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913523",
"telephone_number": "949-874-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23711 VIA LA CORUNA",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913523",
"telephone_number": "949-874-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFICA HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A",
"authorized_official_last_name": "LUCERO",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "949-874-8777"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.