Pacific Healthcare & Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

010000051 Issued in CA

Legal business name

PACIFIC HEALTHCARE & REHABILITATION, LLC

Doing business as

Pacific Healthcare & Rehabilitation

Practice address

2211 Harrison Ave
Eureka, CA 95501-3214

Phone

(707) 443-9767

Fax

(707) 441-8447

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Alice L O'Neill, MS,RD, NHS

Title

Administrator

Phone

(707) 443-9767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Healthcare & Rehabilitation Doing business as

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1982691366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013214",
            "telephone_number": "707-443-9767",
            "fax_number": "707-441-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013214",
            "telephone_number": "707-443-9767",
            "fax_number": "707-441-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTHCARE & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-443-9767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,RD, NHS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "010000051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05334K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Healthcare & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Chidiebere Ozokwere, PHARMD
• Marresa Chinwe Ozokwere, FNP
• Aaron Daniel Pace, RN
• Jenifer Pace, MFT
• Alondra Petrita Pacheco, NP-C
• Pacific Heart Group Inc
• Pacific OB-GYN, Midwifery & Nursing Corp
• Pacific Rehabilitation & Wellness Center, LP
• Cynthia Packard, RN
• Joshua Daniel Padilla, SUDCC

• Skilled Nursing Facility in Eureka, CA
• Providers in Eureka, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.