Pacifica SL Snohomish

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA SL SNOHOMISH

Doing business as

Pacifica Senior Living Snohomish

Practice address

1124 Pine Avenue
Snohomish, WA 98290

Phone

(360) 568-1900

Fax

(360) 568-7394

NPI assigned

Nov 17, 2017

Last updated

Nov 17, 2017By 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

Mr. Deepak Israni

Title

General Manager

Phone

(619) 296-9000

Specialties & licenses 1

Addresses

Other names 1

• Pacifica Senior Living Snohomish Doing business as

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1225542921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 HANCOCK STREET",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "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": "1124 PINE AVENUE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98290",
            "telephone_number": "360-568-1900",
            "fax_number": "360-568-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SL SNOHOMISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-296-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Senior Living Snohomish",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Parker, LMHCA
• Kenneth Eldon Parker, DC
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• Assisted Living Facility in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.