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PACIFICA SENIOR LIVING FORT MYERS
NPI 1679984389
Assisted Living Facility in Fort Myers, FL

Active since May 15, 2014
9461 HEALTHPARK CIR, FORT MYERS, FL 33908(239) 437-5511(239) 437-2826 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacifica Senior Living Fort Myers NPPES

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

PACIFICA SENIOR LIVING FORT MYERS (NPI 1679984389) is a healthcare organization registered as an assisted living facility in Fort Myers, Florida and active in the NPI registry since May 2014. The organization lists Depak Israni, General Manager, as its authorized official.

NPPES Registry Identity

NPI1679984389
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEXTENDED CARE PORTFOLIO FLORIDA TENANT LLC
Location Address9461 HEALTHPARK CIRFort Myers, FL 33908-3614
Mailing Address1775 Hancock St, Suite 200San Diego, CA 92110-2034 · (619) 296-9000 · Fax (619) 296-9090
Phone(239) 437-5511
Fax(239) 437-2826
Organization SubpartNo
Authorized OfficialDepak IsraniGeneral Manager · (619) 296-9000
Enumeration DateMay 15, 2014
✔ NPI 1679984389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL9346
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.
9461 HEALTHPARK CIR, Fort Myers, FL 33908
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Other Names 1

Doing Business AsPacifica Senior Living Fort Myers

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 10D0948637

Pacifica Senior Living Fort Myers · Fort Myers, FL
Expired · Jul 15, 2026
CLIA Number10D0948637
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 16, 2024
Certificate Expiration DateJuly 15, 2026
Laboratory DirectorRandy W. Reber
Laboratory Phone(239) 437-5511
Laboratory LocationPacifica Senior Living Fort Myers9461 Health Park Cir, Fort Myers, FL 33908
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

SRI AT HEALTH PARK, LLC
Assisted Living Facility
9461 HEALTHPARK CIR
FORT MYERS, FL 33908
Lee County (239) 437-5511
GIFTY ACHEAMPONG
Occupational Therapist
9461 HEALTHPARK CIR
FORT MYERS, FL 33908
Lee County (239) 365-1769
FORT MYERS SL OPCO LLC
Assisted Living Facility
9461 HEALTHPARK CIR
FORT MYERS, FL 33908
Lee County (239) 219-1600

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 Extended Care Portfolio Florida Tenant LLC's NPI number?

The NPI number for Extended Care Portfolio Florida Tenant LLC is 1679984389. It was assigned to this organization in the NPPES registry on May 15, 2014. The provider is doing business as Pacifica Senior Living Fort Myers.

Where is Extended Care Portfolio Florida Tenant LLC located?

Extended Care Portfolio Florida Tenant LLC is located at 9461 Healthpark Cir, Fort Myers, FL 33908. The listed phone number is (239) 437-5511.

What is Extended Care Portfolio Florida Tenant 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 Extended Care Portfolio Florida Tenant LLC was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.