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PACIFICA SAGEBRUSH LLC
NPI 1104425933
Assisted Living Facility in Las Vegas, NV

Active since October 22, 2020
8374 W CAPOVILLA AVE, LAS VEGAS, NV 89113(702) 222-3600 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacifica Sagebrush Llc NPPES

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

PACIFICA SAGEBRUSH LLC (NPI 1104425933), doing business as Pacifica Senior Living San Martin, is a healthcare organization registered as an assisted living facility in Las Vegas, Nevada and active in the NPI registry since October 2020. The organization lists Deepak Israni, Owner, as its authorized official.

NPPES Registry Identity

NPI1104425933
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePACIFICA SAGEBRUSH LLC
Location Address8374 W CAPOVILLA AVELas Vegas, NV 89113-3305
Mailing Address8374 W Capovilla AveLas Vegas, NV 89113-3305 · (702) 222-3600
Phone(702) 222-3600
Organization SubpartNo
Authorized OfficialDeepak IsraniOwner · (619) 296-9000
Enumeration DateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1104425933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
8374 W CAPOVILLA AVE, Las Vegas, NV 89113
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Other Names 1

Doing Business AsPacifica Senior Living San Martin

Other Providers at the Same Location NPPES 3

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

KEVIN GREGORY HOHN OTR/L
Occupational Therapist
8374 W CAPOVILLA AVE
LAS VEGAS, NV 89113
Clark County (702) 763-6174
DR. DANIEL ROLLINS MD
Family Medicine
8374 W CAPOVILLA AVE
LAS VEGAS, NV 89113
Clark County (702) 270-8210
CHRISTOPHER MASSA PT, DPT
Physical Therapist
8374 W CAPOVILLA AVE
LAS VEGAS, NV 89113
Clark County (800) 967-4667

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 Sagebrush LLC's NPI number?

The NPI number for Pacifica Sagebrush LLC is 1104425933. It was assigned to this organization in the NPPES registry on October 22, 2020. The provider is doing business as Pacifica Senior Living San Martin.

Where is Pacifica Sagebrush LLC located?

Pacifica Sagebrush LLC is located at 8374 W Capovilla Ave, Las Vegas, NV 89113. The listed phone number is (702) 222-3600.

What is Pacifica Sagebrush LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pacifica Sagebrush LLC was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.