PACIFIC HOME CARE ASSOCIATES INC. NPI 1124112784

NPI Information

NPI: 1124112784
Provider Name: PACIFIC HOME CARE ASSOCIATES, INC.

Doing Business As: PACIFIC HOME HEALTH AND HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
375 PARK AVE STE 6
COOS BAY, OR
ZIP 97420
Phone: (541) 266-7005
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PACIFIC HOME CARE ASSOCIATES, INC. is a hospice care community based in Coos Bay, OR. PACIFIC HOME CARE ASSOCIATES, INC. NPI is 1124112784. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Home Health And Hospice.

The provider's business location address is:

375 PARK AVE STE 6
COOS BAY, OR
ZIP 97420-242
Phone: (541) 266-7005

The provider's authorized official is Donald A Freeman .
The authorized official title is President and has the following contact phone number (405) 878-0202.

The CLIA number assigned to this NPI record is 38D0917583 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 1/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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