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NPI Code Detail

MEDICARE: PACIFIC HOME HEALTH CARE INC

MEDICARE: PACIFIC HOME HEALTH CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1962619601
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 5700 SPRING MOUNTAIN RD
Second Line : SUITE M
City : LAS VEGAS
State : NV
Zip : 89146-8860
Country : US
Telephone Number : 702-208-6577
Fax Number : 702-243-1818
Provider Business Practice Location Address
First Line : 5700 SPRING MOUNTAIN RD
Second Line : SUITE M
City : LAS VEGAS
State : NV
Zip : 89146-8860
Country : US
Telephone Number : 702-208-6577
Fax Number : 702-243-1818
Authorized Official
Title or Position : ADMINISTRATOR
Name : BERNADETTE PINGUE
Credential : RN
Telephone Number : 773-463-1047
Provider Enumeration Date : 05/16/2007
Last Update Date : 08/22/2020

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Directions to “PACIFIC HOME HEALTH CARE INC ” Practice Location

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