Pacific Home Care/HCBS LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PACIFIC HOME CARE/HCBS LLC

Practice address

4155 E Jewell Avenue
Suite 316
Denver, CO 80222-4504

Phone

(720) 519-0208

Fax

(720) 519-0230

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Svetlana S Izmodenova-Shulik

Title

Administrator

Phone

(720) 519-0208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1730403189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVENUE",
            "address_2": "SUITE 316",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "720-519-0208",
            "fax_number": "720-519-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVENUE",
            "address_2": "SUITE 316",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "720-519-0208",
            "fax_number": "720-519-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOME CARE/HCBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "IZMODENOVA-SHULIK",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-519-0208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalene Michelle Pacheco
• Karin A Pacheco, MD
• Kristine Salazar Pacheco, PA-C
• Theresa Marie Pacheco, PSYCH CANDIDATE
• Tiffany Pacheco
• Pacific Limo LLC
• Pacific Respiratory Care Inc.
• Miguel Paciuc-Beja, M.D
• Brooke T Packard, PA
• Jessica Packard

• Home Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.