PACIFICA COTTAGES LLC (NPI# 1326647132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326647132 |
| Entity Type | Organization |
| Organization Name | PACIFICA COTTAGES LLC |
| Practice Address |
2620 Robindale Rd Henderson NV 89074-1277 |
| Practice Telephone | 7029920000 |
| Mailing Telephone | 7029920000 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DEEPAK ISRANI (OWNER) |
| 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 Green Valley | Doing Business As Name - Organization |
| Street Address |
2620 ROBINDALE RD |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 |
|---|---|---|---|---|
| 1225675036 | Tranquil Breezes Home Care LLC | Assisted Living Facility | 237 Palmetto Pointe Dr, Henderson, NV 89012-5015 | 2019-12-01 |
| 1134580459 | Complete Care Group Home | Assisted Living Facility | 2437 High Vista Cir, Henderson, NV 89014-3707 | 2016-03-14 |
| 1962635334 | Wcg Arbor Place Assisted Living, LLC | Assisted Living Facility | 1200 Kilgore Dr, Henderson, TX 75652-5132 | 2009-09-01 |
| 1578766481 | Davis Family Care | Assisted Living Facility | 1421 Ross Mill Rd, Henderson, NC 27537-5965 | 2007-06-07 |
| 1588780035 | Assisted Living Concepts Inc | Assisted Living Facility | 1905 Old Nacogdoches Road, Henderson, TX 75654 | 2007-03-22 |
| 1659409613 | Green-bullock Assisted Living Center | Assisted Living Facility | 1000 Healthcare Center Rd., Henderson, NC 27536-1498 | 2007-03-01 |
| 1043241748 | Woodlawn Retirement Home | Assisted Living Facility | 2171 Ruin Creek Rd, Henderson, NC 27537-8735 | 2006-07-05 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1740278126 | Senior Citizens Home Inc | Assisted Living Facility | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2005-10-11 |
| 1053885467 | Sweet Home Belmont LLC | Assisted Living Facility | 2908 Belmont Dr, Henderson, NV 89074-6509 | 2019-01-18 |
| Find all providers in HENDERSON | ||||
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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.