PACIFICA SL ELLENSBURG LLC (NPI# 1003362567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003362567 |
| Entity Type | Organization |
| Organization Name | PACIFICA SL ELLENSBURG LLC |
| Other Organization Name | PACIFICA SENIOR LIVING ELLENSBURG |
| Practice Address |
818 E Mountain View Ave Ellensburg WA 98926-3866 |
| Mailing Address |
1775 Hancock St Ste 200 San Diego CA 92110-2036 |
| Practice Telephone | 5099251220 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | DEEPAK ISRANI (GENERAL MANAGER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacifica Senior Living Ellensburg | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PACIFICA SL ELLENSBURG LLC | 1775 Hancock St #200, San Diego, CA 92110 |
| Street Address |
818 E MOUNTAIN VIEW AVE |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932413473 | Emeritus Corporation | Assisted Living Facility | 818 E Mountain View Ave, Ellensburg, WA 98926-3866 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275948 | Mountainview Meadows Aid Opco LLC | Assisted Living Facility | 1008 E Mountain View Ave, Ellensburg, WA 98926-3940 | 2015-01-12 |
| 1932413473 | Emeritus Corporation | Assisted Living Facility | 818 E Mountain View Ave, Ellensburg, WA 98926-3866 | 2010-07-26 |
| 1114061652 | Elensburg Care LLC | Assisted Living Facility | 818 E Mountain View, Ellensburg, WA 98926-3866 | 2007-02-17 |
| 1164417226 | Heartstone Cottages LLC | Assisted Living Facility | 802 E Mountain View Ave, Ellensburg, WA 98926-3874 | 2005-09-14 |
| 1801413711 | Ellensburg Ventures, L.L.C. | Assisted Living Facility | 802 E Mountain View Ave, Ellensburg, WA 98926-3874 | 2020-06-26 |
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|---|---|---|---|---|
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| 1104434547 | Sunrise Senior Living Management Inc | Assisted Living Facility | 23599 Se Issaquah Fall City Rd, Issaquah, WA 98029-9265 | 2020-07-22 |
| 1174131999 | Longhouse Bothell LLC | Assisted Living Facility | 16605 122nd Pl Ne, Bothell, WA 98011-7114 | 2020-07-17 |
| 1447878913 | Northwest Hc Columbia Heights Wa Operator Nt-hci LLC | Assisted Living Facility | 1550 Cherry St, Wenatchee, WA 98801-6253 | 2020-07-10 |
| 1881212355 | Northwest Hc Seaport Landing Wa Operator Nt-hci LLC | Assisted Living Facility | 1201 Hancock St, Port Townsend, WA 98368-8513 | 2020-07-10 |
| 1568089472 | Living Court Ventures, L.L.C. | Assisted Living Facility | 2229 Jensen St, Enumclaw, WA 98022-3639 | 2020-06-26 |
| 1154948065 | Sullivan Cottages, L.L.C. | Assisted Living Facility | 411 S Adams Rd, Spokane Valley, WA 99216-2287 | 2020-06-26 |
| 1104443001 | Gig Harbor Ventures, L.L.C. | Assisted Living Facility | 3025 14th Ave Nw, Gig Harbor, WA 98335-1635 | 2020-06-26 |
| 1609493519 | Wenatchee Alf Ventures, L.L.C. | Assisted Living Facility | 601 Okanogan Ave, Wenatchee, WA 98801-6414 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.