Provider Demographics
NPI:1043246341
Name:PACIFICA IN-HOME SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PACIFICA IN-HOME SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:DICKENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-353-4489
Mailing Address - Street 1:18000 STUDEBAKER RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2679
Mailing Address - Country:US
Mailing Address - Phone:562-353-4489
Mailing Address - Fax:562-467-8923
Practice Address - Street 1:18000 STUDEBAKER RD
Practice Address - Street 2:SUITE 700
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2679
Practice Address - Country:US
Practice Address - Phone:562-353-4489
Practice Address - Fax:562-467-8923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health