Provider Demographics
NPI:1972875193
Name:PACHS LLC
Entity Type:Organization
Organization Name:PACHS LLC
Other - Org Name:ALASKA ALL-STAR HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-317-6822
Mailing Address - Street 1:PO BOX 232056
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99523-2056
Mailing Address - Country:US
Mailing Address - Phone:907-317-6822
Mailing Address - Fax:907-868-8873
Practice Address - Street 1:4037 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-4213
Practice Address - Country:US
Practice Address - Phone:907-317-6822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK131533251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health