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PACIFICA SL SCOTTSDALE LLC NPI 1497254486


NPI Information

NPI: 1497254486
Provider Name: PACIFICA SL SCOTTSDALE LLC

Doing Business As: SCOTTSDALE VILLAGE SQUARE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2620 N. 68TH STREET
SCOTTSDALE, AZ
ZIP 85257
Phone: (480) 946-6571
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PACIFICA SL SCOTTSDALE LLC is an assisted living facility in Scottsdale, AZ. The provider is 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. PACIFICA SL SCOTTSDALE LLC NPI is 1497254486. The provider is registered as an organization entity type.
The provider Is Doing Business As Scottsdale Village Square.

The provider's business location address is:

2620 N. 68TH STREET
SCOTTSDALE, AZ
ZIP 85257
Phone: (480) 946-6571
Fax: (480) 946-0028

The provider's authorized official is Deepak Israni .
The authorized official title is Managing Partner and has the following contact phone number (619) 296-9000.

The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL10612CARIZONAYes

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: 4/28/2024

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