EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT LLC (NPI# 1265832299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265832299 |
| Entity Type | Organization |
| Organization Name | EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT LLC |
| Other Organization Name | PACIFICA SENIOR LIVING PARADISE VALLEY |
| Practice Address |
16621 N 38th St Phoenix AZ 85032-2102 |
| Mailing Address |
1775 Hancock St 200 San Diego CA 92110-2034 |
| Practice Telephone | 6027870800 |
| Practice Fax Number | 6027870531 |
| Mailing Telephone | 6192969000 |
| Mailing Fax Number | 6192969090 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | MR. DEEPAK ISRANI (MANAGER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | AL6981C | AZ | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacifica Senior Living Paradise Valley | Doing Business As Name - Organization |
| Street Address |
16621 N 38TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730314626 | Extended Care Portfolio Multistate Pool Tenant, LLC | Assisted Living Facility | 16621 N 38th St, Phoenix, AZ 85032-2102 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811010994 | Dignity Health | Alzheimer Center (Dementia Center) | 2345 W Orangewood Ave, Phoenix, AZ 85021-7659 | 2007-04-06 |
| 1578908836 | View Point Sunshine Village LLC | Alzheimer Center (Dementia Center) | 2606 E Greenway Pkwy, Phoenix, AZ 85032-3601 | 2013-04-30 |
| 1962749770 | Windsor Encanto Palms, LLC | Alzheimer Center (Dementia Center) | 3901 W Encanto Blvd, Phoenix, AZ 85009-1241 | 2013-01-14 |
| 1225375033 | Windsor Maryland Gardens, LLC | Alzheimer Center (Dementia Center) | 31 W Maryland Ave, Phoenix, AZ 85013-1227 | 2013-01-14 |
| 1386726222 | Senior Living Options Maryland Gardens, LLC | Alzheimer Center (Dementia Center) | 31 W Maryland Ave, Phoenix, AZ 85013-1227 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060004 | Hope Springs Memory Care, LLC | Alzheimer Center (Dementia Center) | 4762 E Adams St, Tucson, AZ 85712-4002 | 2018-10-25 |
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 1154779635 | Regency Senior Club | Alzheimer Center (Dementia Center) | 2972 N Campbell Ave, Tucson, AZ 85719-2813 | 2016-05-25 |
| 1659771103 | Jamison Senior Living Communities, LLC | Alzheimer Center (Dementia Center) | 1020 N Woodland Ave, Tucson, AZ 85711-7308 | 2014-09-02 |
| 1215273578 | Gilbert Partners, LLC | Alzheimer Center (Dementia Center) | 6345 E Baseline Rd, Mesa, AZ 85206-4900 | 2012-12-13 |
| 1932479946 | Chandler Fairview Partners, LLC | Alzheimer Center (Dementia Center) | 2200 W Fairview St, Chandler, AZ 85224-4709 | 2012-01-06 |
| 1851696934 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 310 S 63rd St, Mesa, AZ 85206-6016 | 2011-01-20 |
| 1528384120 | Mary's Care Home | Alzheimer Center (Dementia Center) | 9288 N Lost Sage Dr, 8746 Stockon Hill Rd #17, Kingman, AZ 86409-9359 | 2010-04-08 |
| 1033440458 | Lake View Terrace Memory Care | Alzheimer Center (Dementia Center) | 320 Lake Havasu Ave N, Lake Havasu City, AZ 86403-4701 | 2010-01-25 |
| 1982931002 | Brea Peoria, LLC | Alzheimer Center (Dementia Center) | 9296 W Union Hills Dr, Peoria, AZ 85382-8158 | 2009-11-10 |
| Find all providers with the same taxonomy | ||||
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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.