Pacific Healthcare Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4282 Issued in NC

Legal business name

PACIFIC HEALTHCARE SERVICES INC

Practice address

5315 Pageford Dr
Durham, NC 27703-5877

Phone

(919) 698-7210

Fax

(919) 598-3615

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Ijeoma Amuche Ewulum, BSN, RN

Title

Agency Director

Phone

(919) 698-7210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1760789408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 PAGEFORD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035877",
            "telephone_number": "919-698-7210",
            "fax_number": "919-598-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 PAGEFORD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035877",
            "telephone_number": "919-698-7210",
            "fax_number": "919-598-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "EWULUM",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "AMUCHE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-698-7210",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Pace, CRNA
• Logan Pace, MS, RD, LDN
• Rachel Michelle Pace, MD
• Diane Paces-Wiles, LCSW
• Aura Pagbilao Pacheco-Cole, CRNA
• Billie Candice Pack, D.O.
• Neena Pack, MHS, PA-C
• Mathew Sebastian Padanilam, MD
• Mary Paden, CPNP
• Tabitha Catherine Padgett, MSW, LCSWA

• In Home Supportive Care Agency in Durham, NC
• Providers in Durham, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.