Pacifica Sherman LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA SHERMAN LLC

Doing business as

The Courtyard Coeur d'Alene

Practice address

2100 E Sherman Ave
Coeur D Alene, ID 83814-5335

Phone

(208) 215-7166

NPI assigned

Sep 3, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deepak Israni

Title

Managing Partner

Phone

(619) 296-9000

Specialties & licenses 1

Addresses

Other names 1

• The Courtyard Coeur d'Alene Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1053746511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HANCOCK ST",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102034",
            "telephone_number": "619-296-9000",
            "fax_number": "619-296-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145335",
            "telephone_number": "208-215-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SHERMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Courtyard Coeur d'Alene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip L Owens, LCSW
• Own Family Medicine and Wellness LLC Dba Active Family Healthcare
• Fredrick Mark Owsley, M.D.
• Pacific Capital and Consulting, LLC
• Pacifica L 44 LLC (Pacifica Senior Living Coeur d'Alene)
• Jeanna Padilla, CPNP-PC
• Tye Padilla, DMD
• Shadell Padmore
• Pain Management of North Idaho, PLLC
• Erin Anne Paisley

• Assisted Living Facility in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.