PACIFIC HEALTH SYSTEM LLC NPI 1407736135

NPI Information

  • NPI: 1407736135
  • Provider Name: PACIFIC HEALTH SYSTEM LLC
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Organization
  • Address: 4625 E BROADWAY BLVD STE 218
    TUCSON, AZ
    ZIP 85711
  • Phone: (678) 480-5315

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NPI Details

PACIFIC HEALTH SYSTEM LLC is a home health aide in Tucson, AZ. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. PACIFIC HEALTH SYSTEM LLC NPI is 1407736135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4625 E BROADWAY BLVD STE 218
TUCSON, AZ
ZIP 85711-576
Phone: (678) 480-5315
Fax: (678) 669-1693

The provider's authorized official is Remigius Imimole Idaewor .
The authorized official title is President and has the following contact phone number (678) 480-5315.

The enumeration date for this NPI number is 9/4/2025 and was last updated on 9/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374U00000XHome Health AideYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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