# EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacifica Senior Living Paradise Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265832299
- **Authorized official:** MR. DEEPAK ISRANI (MANAGER)
- **Authorized official phone:** (619) 296-9000

## Contact information

- **Practice address:** 16621 N 38TH ST, PHOENIX, AZ 85032-2102
- **Practice address phone:** (602) 787-0800
- **Practice address fax:** (602) 787-0531
- **Mailing address:** 1775 HANCOCK ST STE 200, SAN DIEGO, CA 92110-2036
- **Mailing address phone:** (619) 296-9000
- **Mailing address fax:** (619) 296-9090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | AL6981C | AZ | Yes |

## Other

- **Enumeration date:** 08/27/2014
- **Last updated:** 09/12/2025