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PACIFICA SYLVAN PARK LLC NPI 1285291849


NPI Information

NPI: 1285291849
Provider Name: PACIFICA SYLVAN PARK LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2400 NE 112TH AVENUE
VANCOUVER, WA
ZIP 98684
Phone: (360) 619-5245
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PACIFICA SYLVAN PARK LLC is an assisted living facility in Vancouver, WA. 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 SYLVAN PARK LLC NPI is 1285291849. The provider is registered as an organization entity type.

The provider's business location address is:

2400 NE 112TH AVENUE
VANCOUVER, WA
ZIP 98684
Phone: (360) 619-5245
Fax: (360) 326-1851

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

The enumeration date for this NPI number is 5/20/2019 and was last updated on 5/20/2019.


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
1311500000XAlzheimer Center (Dementia Center)No
2310400000XAssisted Living FacilityYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.