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PACIFICA SENIOR LIVING OCALA LLC NPI 1568868339


NPI Information

NPI: 1568868339
Provider Name: PACIFICA SENIOR LIVING OCALA LLC

Doing Business As: PACIFICA SENIOR LIVING OCALA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2082945

Address:
11311 SW 95TH CIR
OCALA, FL
ZIP 34481
Phone: (352) 861-2088
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PACIFICA SENIOR LIVING OCALA LLC is an assisted living facility in Ocala, FL. 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 SENIOR LIVING OCALA LLC NPI is 1568868339. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacifica Senior Living Ocala.

The provider's business location address is:

11311 SW 95TH CIR
OCALA, FL
ZIP 34481-064
Phone: (352) 861-2088
Fax: (352) 207-1033

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

The CLIA number assigned to this NPI record is 10D2082945 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2014 and was last updated on 11/6/2014.


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 FacilityAL9315FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AL9315OTHERFLORIDAAL LICENSE

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

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.