Pacific Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PACIFIC HOSPICE INC

Practice address

950 W Bannock St
Suite 1100 Office 1104
Boise, ID 83702

Phone

(986) 867-8909

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Luiza Petrosyan

Title

Owner

Phone

(986) 867-8909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1487366514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W BANNOCK ST",
            "address_2": "SUITE 1100 OFFICE 1104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "986-867-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W BANNOCK ST",
            "address_2": "SUITE 1100 OFFICE 1104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "986-867-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "LUIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "986-867-8909"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Irene Pabawena
• Jose Gerardo Pacheco, LICSW, MSW
• Martha Marie Pacheco, M.D.
• Pacific Cataract and Laser Institute Inc PC
• Pacific Healthline PLLC (Purpose Built Physical Therapy)
• Pacific Medical, Inc.
• Pacific Northwest Surgical Associates PC
• Sally Eileen Packard, RN
• Allison Packer, PHARMD
• Madeleine Packer, PT, DPT

• Community Based Hospice Care Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.