PACIFICA SAGEBRUSH LLC (NPI# 1104425933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104425933 |
| Entity Type | Organization |
| Organization Name | PACIFICA SAGEBRUSH LLC |
| Practice Address |
8374 W Capovilla Ave Las Vegas NV 89113-3305 |
| Practice Telephone | 7022223600 |
| Mailing Telephone | 7022223600 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DEEPAK ISRANI (OWNER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacifica Senior Living San Martin | Doing Business As Name - Organization |
| Street Address |
8374 W CAPOVILLA AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417018045 | Daniel Rollins | Family Medicine | 8374 W Capovilla Ave, Las Vegas, NV 89113-3305 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552468 | Aloho Paradise Care LLC | Assisted Living Facility | 1809 Westwind Rd, Las Vegas, NV 89146-0304 | 2020-06-13 |
| 1740803857 | Arlene Rochalski | Assisted Living Facility | 4460 Marlena Cir, Las Vegas, NV 89108-2004 | 2020-05-22 |
| 1528680725 | Nevada Memory Care & Assisted Living Centers LLC | Assisted Living Facility | 2299 Montessouri St, Las Vegas, NV 89117-2813 | 2020-05-11 |
| 1386279164 | Mindful Caring LLC | Assisted Living Facility | 3940 Waterford Ln, Las Vegas, NV 89119-0842 | 2020-03-11 |
| 1083248892 | St Jeremiah LLC | Assisted Living Facility | 3918 Cherokee Ave E, Las Vegas, NV 89121-4511 | 2020-03-02 |
| 1184261984 | Best Care Inc. | Assisted Living Facility | 3212 El Camino Rd, Las Vegas, NV 89146-6624 | 2019-11-30 |
| 1194360040 | Addison Holdings, Inc. | Assisted Living Facility | 9651 Trattoria St, Las Vegas, NV 89178-8262 | 2019-11-14 |
| 1447891528 | Quality Care 4 Seniors LLC | Assisted Living Facility | 4369 Adelphi Ave, Las Vegas, NV 89120-2136 | 2019-09-30 |
| 1043863822 | Gge Enterprises LLC Sunshine Care Home I&ii | Assisted Living Facility | 3045 S Tioga Way, Las Vegas, NV 89117-3218 | 2019-07-20 |
| 1225699770 | Maide LLC | Assisted Living Facility | 1505 Duneville St, Las Vegas, NV 89146-1269 | 2019-06-25 |
| Find all providers in LAS VEGAS | ||||
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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.