OrganizationActive
Pacifica Sagebrush LLC
NPI 1104425933 · Assisted Living Facility · Las Vegas, NV
Pacifica Sagebrush LLC is a Assisted Living Facility organization in Las Vegas, NV (NPI 1104425933).
Provider details
- NPI number
- 1104425933
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Deepak Israni, Owner(619) 296-9000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8374 W Capovilla Ave
Las Vegas, NV 89113-3305
Phone: (702) 222-3600
Street-level locationGet directions
Mailing address
8374 W Capovilla Ave
Las Vegas, NV 89113-3305
Other names (DBA / former)
- Doing business as
- Pacifica Senior Living San Martin
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Frequently asked questions
- What is Pacifica Sagebrush LLC's NPI number?
- Pacifica Sagebrush LLC's National Provider Identifier (NPI) is 1104425933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacifica Sagebrush LLC?
- Pacifica Sagebrush LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Pacifica Sagebrush LLC located?
- Pacifica Sagebrush LLC's practice location on file with NPPES is 8374 W Capovilla Ave, Las Vegas, NV 89113-3305.
- What is Pacifica Sagebrush LLC's phone number?
- The practice phone number listed in the NPPES registry for Pacifica Sagebrush LLC is (702) 222-3600.
- Who is the authorized official for Pacifica Sagebrush LLC?
- The authorized official listed on Pacifica Sagebrush LLC's NPPES record is Deepak Israni, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacifica Sagebrush LLC's NPI active?
- Yes — Pacifica Sagebrush LLC's NPI (1104425933) is active in the NPPES registry as of the last update on 2020-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.