Pacifica Pinehurst LLC

Assisted Living Facility · Pinehurst, ID

Organization Active NPI

NPI number 1992130447

Practice location

208 S Division St
Pinehurst, ID 83850-8700
Phone
(208) 682-9170

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NPI record

NPI
1992130447
Entity type
Organization (Type 2)
Enumeration date
September 3, 2013
Last updated
September 3, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —

Mailing address

1775 Hancock St
Suite 200
San Diego, CA 92110-2034
Phone
(619) 296-9000
Fax
(619) 296-9090

Authorized official

Name
Deepak Israni
Title
Managing Partner
Phone
(619) 296-9000

Other names

  • Pacifica Senior Living Pinehurst

About Pacifica Pinehurst LLC

Pacifica Pinehurst LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 208 S Division St, Pinehurst, ID 83850-8700. The NPI number 1992130447 was assigned on September 3, 2013 and the record was last updated on September 3, 2013.

The authorized official for this organization is Deepak Israni, Managing Partner.

Frequently asked questions

What is the NPI number of Pacifica Pinehurst LLC?

The NPI number is 1992130447.

What is the phone number of Pacifica Pinehurst LLC?

The phone number listed for the practice location is (208) 682-9170.

Where is Pacifica Pinehurst LLC located?

208 S Division St, Pinehurst, ID 83850-8700.

What is the taxonomy code for Pacifica Pinehurst LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility.

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.