Provider Demographics
NPI:1861587800
Name:PACIFIC HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:PACIFIC HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:S
Authorized Official - Last Name:EHIRIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-270-1500
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:ALIEF
Mailing Address - State:TX
Mailing Address - Zip Code:77411-0036
Mailing Address - Country:US
Mailing Address - Phone:713-270-1500
Mailing Address - Fax:713-270-1545
Practice Address - Street 1:8300 BISSONNET ST
Practice Address - Street 2:#340
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3900
Practice Address - Country:US
Practice Address - Phone:713-270-1500
Practice Address - Fax:713-270-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007083251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXETX6000166Medicaid