PACIFICA SENIOR LIVING ELLENSBURG
NPI 1003362567
Assisted Living Facility in Ellensburg, WA
About Pacifica Senior Living Ellensburg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFICA SENIOR LIVING ELLENSBURG (NPI 1003362567) is a healthcare organization registered as an assisted living facility in Ellensburg, Washington and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Deepak Israni, General Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 50D2018590
Pacifica Senior Living Ellensburg · Ellensburg, WAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pacifica Sl Ellensburg LLC's NPI number?
The NPI number for Pacifica Sl Ellensburg LLC is 1003362567. It was assigned to this organization in the NPPES registry on August 25, 2016. The provider is doing business as Pacifica Senior Living Ellensburg.
Where is Pacifica Sl Ellensburg LLC located?
Pacifica Sl Ellensburg LLC is located at 818 E Mountain View Ave, Ellensburg, WA 98926. The listed phone number is (509) 925-1220.
What is Pacifica Sl Ellensburg LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Pacifica Sl Ellensburg LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2018590) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pacifica Sl Ellensburg LLC was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pacifica Senior Living Ellensburg · NPI 1003362567
Assisted Living Facility organization in Ellensburg, Washington. Organization record, active in the CMS NPPES registry since August 25, 2016.
## Identity
- **NPI:** 1003362567 (Entity type: Organization)
- **Enumerated:** August 25, 2016
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Pacifica Sl Ellensburg Llc
- **Organization subpart:** No
- **Authorized official:** Deepak Israni, GENERAL MANAGER
## Practice location
- **Address:** 818 E MOUNTAIN VIEW AVE, Ellensburg, WA 98926-3866
- **Phone:** (509) 925-1220
## Record status
- **NPPES last updated:** August 25, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003362567) · Data from the CMS NPPES public registry.