PACIFICA SL HEMET LLC (NPI# 1760954291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760954291 |
| Entity Type | Organization |
| Organization Name | PACIFICA SL HEMET LLC |
| Practice Address |
1177 South Palm Avenue Hemet CA 92543 |
| Mailing Address |
1775 Hancock Street Suite 200 San Diego CA 92110 |
| Practice Telephone | 9512163932 |
| Mailing Telephone | 6192969000 |
| Mailing Fax Number | 6192969090 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | DEEPAK ISRANI (MANAGING MEMBER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1177 SOUTH PALM AVENUE |
| City | HEMET |
| State | CA |
| Zip Code | 92543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| 1083022925 | Myo Kyaw Zaw | Internal Medicine | 1278 E. Latham Ave, Hemet, CA 92543 | 2014-07-23 |
| Find all providers in zip 92543 | ||||
| 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 |
|---|---|---|---|---|
| 1568088193 | Buena Vista Al, LLC | Assisted Living Facility | 1393 S Buena Vista St, Hemet, CA 92543-7660 | 2020-06-19 |
| 1093341455 | Rainbow View Senior Care Lpa, LLC | Assisted Living Facility | 4170 Rainbow View Way, Hemet, CA 92545 | 2020-03-18 |
| 1780131466 | Bridging Lives LLC | Assisted Living Facility | 853 Colorado Dr, Hemet, CA 92544-7815 | 2016-09-09 |
| 1518411040 | Bridging Lives LLC | Assisted Living Facility | 26112 Avenida Hortensia, Hemet, CA 92544-6547 | 2016-08-12 |
| 1073999470 | Vista Montana Senior Living Inc. | Assisted Living Facility | 155 N Girard St, Hemet, CA 92544-4624 | 2015-08-07 |
| 1134505704 | Bridging Lives LLC | Assisted Living Facility | 3081 Hampton Ave, Hemet, CA 92545-5324 | 2015-08-06 |
| 1902202245 | Bridging Lives LLC | Assisted Living Facility | 3061 Hampton Ave, Hemet, CA 92545-5324 | 2014-11-14 |
| 1538482724 | Chateau Battiste East | Assisted Living Facility | 25911 Stanford St, Hemet, CA 92544-4986 | 2010-03-02 |
| 1124340815 | Chateau Battiste At Hemet Street | Assisted Living Facility | 161 N Hemet St, Hemet, CA 92544-5037 | 2010-02-22 |
| 1093047235 | Yorkshire House | Assisted Living Facility | 26933 Cornell St, Hemet, CA 92544-7458 | 2010-02-12 |
| Find all providers in HEMET | ||||
Please comment or provide details below to improve the information on PACIFICA SL HEMET LLC.
| 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.