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PACIFIC HOME CARE, LLC
NPI 1730468448
Home Health in Cleveland, OH

Active since August 11, 2011CLIA 36D2037191 · Waiver
4713 W 130TH ST, CLEVELAND, OH 44135(216) 458-5756(216) 812-1121 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2020, Feb 28, 2018 (2 updates tracked since 2018).

About Pacific Home Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC HOME CARE, LLC (NPI 1730468448) is a healthcare organization registered as a home health in Cleveland, Ohio and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Abdullahi A Ali, Manager, as its authorized official.

NPPES Registry Identity

NPI1730468448
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePACIFIC HOME CARE, LLC
Location Address4713 W 130TH STCleveland, OH 44135-3705
Mailing Address4713 W 130th StCleveland, OH 44135-3705 · (216) 458-5756 · Fax (216) 812-1121
Phone(216) 458-5756
Fax(216) 812-1121
Organization SubpartNo
Authorized OfficialAbdullahi A AliManager · (216) 396-5051
Enumeration DateAugust 11, 2011
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1730468448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in OH · 201122200526
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
4713 W 130TH ST, Cleveland, OH 44135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2037191

Pacific Home Care, LLC · Cleveland, OH
Active · expires Feb 21, 2028
CLIA Number36D2037191
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorAbdullahi A. Ali
Laboratory Phone(216) 458-5756
Laboratory LocationPacific Home Care, LLC4713 West 130th St, Cleveland, OH 44135
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Pacific Home Care LLC (CMS certification number 368469), from CMS Care Compare.

Pacific Home Care LLC

Home health agency · Cleveland, OH
OwnershipProprietary
CMS Certification Number368469
Medicare-Certified SinceDecember 1, 2012
Phone(216) 458-5756
Services Offered
Skilled nursing care Physical therapy Home health aide services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Home Care, LLC's NPI number?

The NPI number for Pacific Home Care, LLC is 1730468448. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Pacific Home Care, LLC located?

Pacific Home Care, LLC is located at 4713 W 130th St, Cleveland, OH 44135. The listed phone number is (216) 458-5756.

What is Pacific Home Care, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Pacific Home Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2037191) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pacific Home Care, LLC a Medicare-certified home health agency?

Yes. Pacific Home Care LLC is a Medicare-certified home health agency, certified since December 1, 2012.

What insurance does Pacific Home Care, LLC accept?

Health plans from UnitedHealthcare list Pacific Home Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Home Care, LLC was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.