PACIFICA SL SCOTTSDALE LLC (NPI# 1497254486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497254486 |
| 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 | 4809460028 |
| Mailing Telephone | 6192969000 |
| Mailing Fax Number | 6192969090 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| 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 |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL10612C | AZ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Scottsdale Village Square | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 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 |
|---|---|---|---|---|
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 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 | 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 |
|---|---|---|---|---|
| 1093357014 | Honor Assisted Living LLC | Assisted Living Facility | 7412 E Wethersfield Rd, Scottsdale, AZ 85260-4719 | 2019-10-10 |
| 1487139861 | Marilyn Manor Assisted Living Home, LLC | Assisted Living Facility | 6327 E Marilyn Rd, Scottsdale, AZ 85254-2577 | 2018-10-01 |
| 1871003046 | John Callini | Assisted Living Facility | 8139 E Cholla St, Scottsdale, AZ 85260-6500 | 2017-10-02 |
| 1417494527 | Gng Management Group Inc | Assisted Living Facility | 15213 N 55th Way, Scottsdale, AZ 85254-8204 | 2017-01-26 |
| 1821534744 | Arc Scottsdale, LLC | Assisted Living Facility | 15436 N 64th St, Scottsdale, AZ 85254-2064 | 2017-01-17 |
| 1700337680 | Colten Adult Care, LLC | Assisted Living Facility | 14203 N 68th Pl, Scottsdale, AZ 85254-3401 | 2016-10-17 |
| 1194276055 | Colten Adult Care, LLC | Assisted Living Facility | 6739 E Sweetwater Ave, Scottsdale, AZ 85254-4586 | 2016-10-17 |
| 1093263816 | Colten Adult Care, LLC | Assisted Living Facility | 12433 N 71st St, Scottsdale, AZ 85254-5319 | 2016-09-21 |
| 1770031502 | Colten Adult Care, LLC | Assisted Living Facility | 7741 E Charter Oak Rd, Scottsdale, AZ 85260-4827 | 2016-09-21 |
| 1164970059 | Cornelia & Ioan Basa | Assisted Living Facility | 13330 N 88th Pl, Scottsdale, AZ 85260-7633 | 2016-09-20 |
| 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.