Pacifica Kenmore LLC

Assisted Living Facility · Kenmore, WA

Organization Active NPI

NPI number 1275131237

Practice location

7221 NE 182ND Street
Kenmore, WA 98028
Phone
(425) 481-4200

Open in Google Maps

NPI record

NPI
1275131237
Entity type
Organization (Type 2)
Enumeration date
October 13, 2020
Last updated
October 13, 2020
Certified
October 13, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —
Alzheimer Center (Dementia Center) 311500000X — —

Mailing address

1775 Hancock Street
Suite 200
San Diego, CA 92110
Phone
(619) 296-9000
Fax
(619) 296-9090

Authorized official

Name
Deepak Israni
Title
General Manager
Phone
(619) 296-9000

Other names

  • Kenmore Senior Living

About Pacifica Kenmore LLC

Pacifica Kenmore LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 7221 NE 182ND Street, Kenmore, WA 98028. The NPI number 1275131237 was assigned on October 13, 2020 and the record was last updated on October 13, 2020.

The authorized official for this organization is Deepak Israni, General Manager.

Frequently asked questions

What is the NPI number of Pacifica Kenmore LLC?

The NPI number is 1275131237.

What is the phone number of Pacifica Kenmore LLC?

The phone number listed for the practice location is (425) 481-4200.

Where is Pacifica Kenmore LLC located?

7221 NE 182ND Street, Kenmore, WA 98028.

What is the taxonomy code for Pacifica Kenmore LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Assisted Living Facility providers in Kenmore

All Assisted Living Facility providers in Kenmore, WA →