PACIFICA SENIOR LIVING PEORIA
NPI 1992129712
Alzheimer Center (Dementia Center) in Peoria, AZ

NPI Status: Active since February 13, 2014

Contact Information

9045 W ATHENS ST
PEORIA, AZ
ZIP 85382
Phone: (623) 876-8300

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  • Organization
  • Alzheimer Center (Dementia Center)

About PACIFICA SENIOR LIVING PEORIA

This page provides the complete NPI Profile along with additional information for Pacifica Senior Living Peoria, a provider established in Peoria, Arizona operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1992129712 assigned on February 2014. The practitioner's primary taxonomy code is 311500000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Deepak Israni (General Manager)

NPI
1992129712
Provider Name
PACIFICA SENIOR LIVING PEORIA
Entity Type
Organization
Location Address
9045 W ATHENS ST PEORIA, AZ 85382
Location Phone
(623) 876-8300
Mailing Address
1775 HANCOCK ST SUITE 200 SAN DIEGO, CA 92110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2014
Last Update Date
02-13-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEEPAK ISRANI

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(619) 296-9000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992129712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182221872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 2 + 2 + 1 + 8 + 7 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1992129712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003932328 TANYA L THOMS DPM
Individual
Podiatrist (Foot Surgery)9045 W ATHENS ST
PEORIA, AZ 85382
(623) 760-5802
1083884571EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
Organization
Assisted Living Facility9045 W ATHENS ST
PEORIA, AZ 85382
(623) 876-8300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992129712, enumerated in the NPI registry as an "organization" on February 13, 2014

The provider is located at 9045 W Athens St Peoria, Az 85382 and the phone number is (623) 876-8300

This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X

This NPI record was last updated on February 13, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.