Pacifica Health Services Llc in Des Moines - Assisted Living Facility
Pacifica Health Services Llc - NPI 1588697247
Pacifica Health Services Llc is a Assisted Living Facility in Des Moines, Iowa. Pacifica Health Services Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Pacifica Health Services Llc is 1588697247. The last update date is 2009-07-13.
Pacifica Health Services Llc's current location address is 4911 Sw 19th St, Des Moines, Iowa. You can contact this provider via phone number 5152852559. The mailing address for Pacifica Health Services Llc is 4911 Sw 19th St, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacifica Health Services Llc |
|---|---|
| Address | 4911 Sw 19th St, Des Moines, Iowa |
| Phone Number | 5152852559 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Wolnerman Philip Allen |
| Credentials | RPH, FASCP |
| Telephone Number | 5152852559 |
NPI Number Detail
| NPI Number | 1588697247 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2009-07-13 |
Provider Mailing Address Detail
| Address | 4911 Sw 19th St |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503154487 |
| Phone Number | 5152852559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | S0085 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807321 | IA | -- |
Post Comment/ Review Below
What is the Pacifica Health Services Llc's unique identification number?
The Pacifica Health Services Llc has been assigned the NPI (National Provider Identifier) Number 1588697247 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Pacifica Health Services Llc located?
The Pacifica Health Services Llc is located at 4911 Sw 19Th St, Des Moines, IA 503154487.
What is Pacifica Health Services Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pacifica Health Services Llc is Assisted Living Facility, and the taxonomy classification code that categorizes this area of expertise is 310400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588697247 to Pacifica Health Services Llc?
The Pacifica Health Services Llc received its 1588697247 assignment from the Centers for Medicare & Medicaid Services on 2006-07-08.
When was the Pacifica Health Services Llc's information last updated?
The Pacifica Health Services Llc's information was last updated on 2009-07-13.
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