Pacifica Lauderhill LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA LAUDERHILL LLC

Doing business as

Forest Trace Senior Living

Practice address

5500 NW 69TH Ave
Lauderhill, FL 33319-7266

Phone

(954) 572-1800

NPI assigned

Oct 22, 2020

Last updated

Jul 23, 2026By the provider in NPPES

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

Owner

Phone

(619) 296-9000

Specialties & licenses 1

Addresses

Other names 1

• Forest Trace Senior Living Doing business as

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1134728926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW 69TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333197266",
            "telephone_number": "954-572-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NW 69TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333197266",
            "telephone_number": "954-572-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA LAUDERHILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Trace Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharole J Osbourne
• Oscar Mendez MD PA
• Oxy-Pam Inc
• P & N Billing Solutions
• Jordana Lauren Pachter
• Maria Graciela Padron de Michel, RBT
• Dahlia L Palmer
• Lona De Theodosia Palmero, LMT
• Park Regency Operator LLC (Courtyards at Inverrary)
• Shequilia Parker, MEDICAL ASSISTANT

• Assisted Living Facility in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.