Healthcare Provider Details

I. General information

NPI: 1912837139
Provider Name (Legal Business Name): THE PACIFIC HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W PENNSYLVANIA AVE STE 2
TOWSON MD
21204-4229
US

IV. Provider business mailing address

403 W PENNSYLVANIA AVE STE 2
TOWSON MD
21204-4229
US

V. Phone/Fax

Practice location:
  • Phone: 888-426-9021
  • Fax: 443-819-2865
Mailing address:
  • Phone: 888-426-9021
  • Fax: 443-819-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. AMARACHI BLESSING OKEKE
Title or Position: ADMINISTRATION
Credential:
Phone: 888-426-9021