Provider Demographics
NPI:1376567974
Name:PACIFIC CARE HOME HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:PACIFIC CARE HOME HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETE
Authorized Official - Middle Name:SORIANO
Authorized Official - Last Name:ELLORIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-497-4342
Mailing Address - Street 1:11999 KATY FWY
Mailing Address - Street 2:SUITE # 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1611
Mailing Address - Country:US
Mailing Address - Phone:281-497-4342
Mailing Address - Fax:281-497-4343
Practice Address - Street 1:11999 KATY FWY
Practice Address - Street 2:SUITE # 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1611
Practice Address - Country:US
Practice Address - Phone:281-497-4342
Practice Address - Fax:281-497-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010153251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health