PACIFICA SL SCOTTSDALE LLC (NPI# 1043725765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043725765 |
| Entity Type | Organization |
| Organization Name | PACIFICA SL SCOTTSDALE LLC |
| Other Organization Name | SCOTTSDALE VILLAGE SQUARE |
| Practice Address |
2620 N. 68th Street Scottsdale AZ 85257 |
| Mailing Address |
1775 Hancock Street Suite 200 San Diego CA 92110 |
| Practice Telephone | 4809466571 |
| Practice Fax Number | 4809460082 |
| Mailing Telephone | 6192969000 |
| Mailing Fax Number | 6192969090 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | DEEPAK ISRANI (MANAGING PARTNER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Scottsdale Village Square | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497254486 | Pacifica Sl Scottsdale LLC | Assisted Living Facility | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2018-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFICA SL SCOTTSDALE LLC | 2620 N 68th St, Scottsdale, AZ 85257-1202 |
| Street Address |
2620 N. 68TH STREET |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497254486 | Pacifica Sl Scottsdale LLC | Assisted Living Facility | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717655 | Bodysculpting Outpatient Surgery Center, LLC | Clinic/Center | 2255 N Scottsdale Road, Scottsdale, AZ 85257 | 2019-12-20 |
| 1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
| 1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
| 1336541754 | Jennifer Ann Leitz | Specialist/Technologist | 1250 N 77th St, Scottsdale, AZ 85257 | 2014-09-17 |
| 1427465335 | Rachid Daniel Faqir | Chiropractor | 2765 N. Scottsdale Rd., #108, Scottsdale, AZ 85257 | 2014-07-14 |
| 1831448869 | Maynard Chiropractic & Wellness Center Inc | Chiropractor | 1920 North Scottsdale Rd, Scottsdale, AZ 85257 | 2012-09-06 |
| 1750663720 | Souad Matkin | Registered Nurse | 701 N Miller Road, Scottsdale, AZ 85257 | 2011-09-15 |
| 1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
| 1780905026 | Karen Wister Kearns | Counselor | 1855 N 79th Pl, Scottsdale, AZ 85257 | 2010-06-22 |
| 1982841367 | Rasik C Patel | Dentist | 8010 E. Mcdowell Rd., #116, Scottsdale, AZ 85257 | 2009-01-07 |
| Find all providers in zip 85257 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598128126 | Revati Mummaneni Md Pllc | Skilled Nursing Facility | 6895 E Camelback Rd, Unit 6011, Scottsdale, AZ 85251-2461 | 2016-03-31 |
| 1790150100 | Independence Rehab | Skilled Nursing Facility | 2620 N 68th St, Scottsdale, AZ 85257-1202 | 2015-12-10 |
| 1003232497 | The Pointe Healthcare | Skilled Nursing Facility | 14650 N 78th Way, Bldg B, Scottsdale, AZ 85260-3201 | 2014-03-10 |
| 1811278344 | Scottsdale Op Co LLC | Skilled Nursing Facility | 17490 N 93rd St, Scottsdale, AZ 85255-6323 | 2011-08-29 |
| 1093019770 | Cc Pdr Silverstone L L C | Skilled Nursing Facility | 22605 N 74th St, Scottsdale, AZ 85255-7466 | 2011-01-10 |
| 1366594632 | Ahc of Scottsdale, LLC | Skilled Nursing Facility | 9846 N. 95th Street, Scottsdale, AZ 85258 | 2007-01-17 |
| 1235177874 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3339 N Drinkwater Blvd, Scottsdale, AZ 85251-6452 | 2006-06-04 |
| 1326023631 | Monterey Care, Inc. | Skilled Nursing Facility | 3293 N Drinkwater Blvd, Scottsdale, AZ 85251-6405 | 2005-12-08 |
| 1669467098 | Westminster Village Inc | Skilled Nursing Facility | 12000 N 90th Street, Scottsdale, AZ 85260 | 2005-09-12 |
| 1336133370 | Avalon Care Center - Scottsdale, LLC | Skilled Nursing Facility | 11150 N 92nd St, Scottsdale, AZ 85260-6150 | 2005-09-06 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85257 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.