Organization Active NPI

Pacific Home Care Associates, Inc.

Doing business as Pacific Home Health and Hospice

  • Home Health Agency
  • Springfield, OR
National Provider Identifier
1710200498
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PACIFIC HOME CARE ASSOCIATES, INC.
Doing business as
Pacific Home Health and Hospice
Practice address
838 Beltline Rd
Springfield, OR 97477-1091
Phone
(541) 746-0482
Fax
(541) 746-1685
NPI assigned
Mar 9, 2010
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Donald A Freeman
Title
President
Phone
(405) 878-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

838 Beltline Rd
Springfield, OR 97477-1091

Mailing address

120 W Macarthur St
Suite 121
Shawnee, OK 74804-2007
Phone (405) 878-0202

Other names 1

  • Pacific Home Health and Hospice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1710200498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MACARTHUR ST",
            "address_2": "SUITE 121",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042007",
            "telephone_number": "405-878-0202",
            "fax_number": "405-273-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-746-0482",
            "fax_number": "541-746-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOME CARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-878-0202"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.