Provider Demographics
NPI:1144484460
Name:PACIFIC HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:PACIFIC HOME CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARAGIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERTANESSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:626-396-6969
Mailing Address - Street 1:261 E COLORADO BLVD.
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-6137
Mailing Address - Country:US
Mailing Address - Phone:626-396-6969
Mailing Address - Fax:626-396-6999
Practice Address - Street 1:261 E COLORADO BLVD
Practice Address - Street 2:SUITE 216
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1913
Practice Address - Country:US
Practice Address - Phone:626-396-6969
Practice Address - Fax:626-396-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health