Provider Demographics
NPI:1356007884
Name:PACIFY HEALTH LLC
Entity Type:Organization
Organization Name:PACIFY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AVP, PROGRAMS AND OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-786-4862
Mailing Address - Street 1:1700 N MOORE ST STE 1210
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-1906
Mailing Address - Country:US
Mailing Address - Phone:703-914-3191
Mailing Address - Fax:
Practice Address - Street 1:1700 N MOORE ST STE 1210
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-1906
Practice Address - Country:US
Practice Address - Phone:703-914-3191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty