Pacific Developmental Abilities, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PACIFIC DEVELOPMENTAL ABILITIES, LLC

Doing business as

Pacific Developmental Abilities, LLC

Practice address

11065 E Risata Ave
Mesa, AZ 85212-5106

Phone

(480) 226-7458

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Uhegwu, MSC.

Title

President

Phone

(480) 226-7458

Specialties & licenses 1

Addresses

Other names 1

• Pacific Developmental Abilities, LLC Doing business as

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1457969131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 E RISATA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852125106",
            "telephone_number": "480-226-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 E RISATA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852125106",
            "telephone_number": "480-226-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DEVELOPMENTAL ABILITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "UHEGWU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-226-7458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Developmental Abilities, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myrna Ruth Pace
• Cynthia Arely Pacheco, MSOT, OTR
• Lorena Venita Pacheco
• Michael A Pachtman, M.D.
• Pacific Behavioral Center Inc
• Jesse Lauren Pack, FNP-C
• Blair J Packard II, PT
• Kendal Packer
• Nina Padilla-Hurst
• Brionna Padilla

• In Home Supportive Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.