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PACIFICA AUGUSTINE ROAD LLC
NPI 1982172995
Assisted Living Facility in Jacksonville, FL

Active since November 07, 2018
10660 OLD AUGUSTINE ROAD, JACKSONVILLE, FL 32257(914) 262-4600(904) 262-1939 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacifica Augustine Road Llc NPPES

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

PACIFICA AUGUSTINE ROAD LLC (NPI 1982172995), doing business as Wyndham Lakes A Pacifica Senior Living Community, is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since November 2018. The organization lists Deepak Israni, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1982172995
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePACIFICA AUGUSTINE ROAD LLC
Location Address10660 OLD AUGUSTINE ROADJacksonville, FL 32257
Mailing Address1775 Hancock Street, Suite 200San Diego, CA 92110 · (619) 296-9000 · Fax (619) 296-9090
Phone(914) 262-4600
Fax(904) 262-1939
Organization SubpartNo
Authorized OfficialDeepak IsraniManaging Partner · (619) 296-9000
Enumeration DateNovember 7, 2018
✔ NPI 1982172995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
10660 OLD AUGUSTINE ROAD, Jacksonville, FL 32257
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Other Names 1

Doing Business AsWyndham Lakes A Pacifica Senior Living Community

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 Augustine Road LLC's NPI number?

The NPI number for Pacifica Augustine Road LLC is 1982172995. It was assigned to this organization in the NPPES registry on November 7, 2018. The provider is doing business as Wyndham Lakes A Pacifica Senior Living Community.

Where is Pacifica Augustine Road LLC located?

Pacifica Augustine Road LLC is located at 10660 Old Augustine Road, Jacksonville, FL 32257. The listed phone number is (914) 262-4600.

What is Pacifica Augustine Road 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 Augustine Road LLC was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.