PACIFICA SENIOR LIVING MILLCREEK
NPI 1801295894
Assisted Living Facility in Salt Lake City, UT

Q: What is Extended Care Portfolio Multistate Pool Tenant, LLC's specialty?

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

Active since August 15, 2014

777 E 3900 S, SALT LAKE CITY, UT 84107(801) 288-0700(801) 288-2777 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pacifica Senior Living Millcreek NPPES

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

PACIFICA SENIOR LIVING MILLCREEK (NPI 1801295894) is a healthcare organization registered as an assisted living facility in Salt Lake City, Utah and active in the NPI registry since August 2014. The organization lists Deepak Israni, Manager, as its authorized official.

NPPES Registry Identity

NPI1801295894

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC

Location Address777 E 3900 SSalt Lake City, UT 84107-2199

Mailing Address1775 Hancock St Ste 200San Diego, CA 92110-2036 · (619) 296-9000 · Fax (619) 296-9090

Phone(801) 288-0700

Fax(801) 288-2777

Organization SubpartNo

Authorized OfficialDeepak IsraniManager · (619) 296-9000

Enumeration DateAugust 15, 2014

✔ NPI 1801295894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Licenses✔ Licensed in UT · UT207219✔ Licensed in UT · UT000249

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.

777 E 3900 S, Salt Lake City, UT 84107

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Other Names 1

Doing Business AsPacifica Senior Living Millcreek

Other Providers at the Same Location NPPES 4

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

ENCORE SENIOR LIVING II, LLC

Assisted Living Facility

777 E 3900 S
SALT LAKE CITY, UT 84107

Salt Lake County (801) 288-0700

ENCORE SENIOR LIVING, LLC

Assisted Living Facility

777 E 3900 S
SALT LAKE CITY, UT 84107

Salt Lake County (801) 288-0700

ADILVANIA F DA COSTA RESTA

Physical Therapist

777 E 3900 S
MILLCREEK, UT 84107

Salt Lake County (954) 773-1050

ASHLEY K RUDD

Occupational Therapy Assistant

777 E 3900 S
SALT LAKE CITY, UT 84107

Salt Lake County (385) 743-8360

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 Multistate Pool Tenant, LLC's NPI number?

The NPI number for Extended Care Portfolio Multistate Pool Tenant, LLC is 1801295894. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider is doing business as Pacifica Senior Living Millcreek.

Where is Extended Care Portfolio Multistate Pool Tenant, LLC located?

Extended Care Portfolio Multistate Pool Tenant, LLC is located at 777 E 3900 S, Salt Lake City, UT 84107. The listed phone number is (801) 288-0700.

What is Extended Care Portfolio Multistate Pool 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 Multistate Pool Tenant, LLC was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.