Pacific Premier Care Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

PACIFIC PREMIER CARE HOME LLC

Practice address

260 44TH PL NE
Salem, OR 97301-5163

Phone

(503) 339-7559

Fax

(503) 990-7059

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Esther Muthoni Kamau, RN

Title

Administrator

Phone

(978) 328-8632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699660800000",
    "number": "1740054857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 44TH PL NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015163",
            "telephone_number": "503-362-8834",
            "fax_number": "503-990-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 44TH PL NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015163",
            "telephone_number": "503-339-7559",
            "fax_number": "503-990-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PREMIER CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "MUTHONI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-328-8632",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Northwest Sleep Centers, LLC
• Pacific Obstetrics & Gynecology, L.L.C.
• Pacific Pathology Associates, Inc
• Pacific Pathology Associates, Inc
• Pacific Pathology Associates, Inc.
• Pacific Recovery Inc
• Pacific Spine & Rehab, LLC
• Samuel William Packham, PA-C
• Victoria R Padron, RD, LD, CD
• Michelle Lyn Pagel, B.S

• Registered Nurse in Salem, OR
• Providers in Salem, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.