SCOTTSDALE VILLAGE SQUARE
NPI 1043725765
Skilled Nursing Facility in Scottsdale, AZ

Active since December 04, 2017CLIA 03D0879827 · Waiver
2620 N. 68TH STREET, SCOTTSDALE, AZ 85257(480) 946-6571(480) 946-0082 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Scottsdale Village Square NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTTSDALE VILLAGE SQUARE (NPI 1043725765) is a healthcare organization registered as a skilled nursing facility in Scottsdale, Arizona and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Deepak Israni, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043725765
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePACIFICA SL SCOTTSDALE LLC
Location Address2620 N. 68TH STREETScottsdale, AZ 85257
Mailing Address1775 Hancock Street, Suite 200San Diego, CA 92110 · (619) 296-9000 · Fax (619) 296-9090
Fax(480) 946-0082
Organization SubpartNo
Authorized OfficialDeepak IsraniManaging Partner · (619) 296-9000
Enumeration DateDecember 4, 2017
NPI 1043725765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
2620 N. 68TH STREET, Scottsdale, AZ 85257

Other Names 1

Doing Business AsScottsdale Village Square

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 03D0879827

Scottsdale Village Rehab · Scottsdale, AZ
Active · expires Dec 2, 2027
CLIA Number03D0879827
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorSandy Verheijde
Laboratory Phone(480) 946-6571
Laboratory LocationScottsdale Village Rehab2620 N 68th St, Scottsdale, AZ 85257
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
2620 N. 68TH STREET
SCOTTSDALE, AZ 85257

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 Scottsdale LLC's NPI number?

The NPI number for Pacifica Sl Scottsdale LLC is 1043725765. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Pacifica Sl Scottsdale LLC located?

Pacifica Sl Scottsdale LLC is located at 2620 N. 68th Street, Scottsdale, AZ 85257. The listed phone number is (480) 946-6571.

What is Pacifica Sl Scottsdale LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Pacifica Sl Scottsdale LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0879827) is associated with this NPI, valid through December 2, 2027. 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 Scottsdale LLC was last updated on December 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.