OrganizationActive
Extended Care Portfolio Multistate Pool Tenant, LLC
NPI 1801295894 · Assisted Living Facility · Salt Lake City, UT
Provider details
- NPI number
- 1801295894
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Deepak Israni, Manager(619) 296-9000
- License
- UT000249 (UT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
777 E 3900 S
Salt Lake City, UT 84107-2199
Phone: (801) 288-0700
Fax: (801) 288-2777
Street-level locationGet directions
Mailing address
1775 Hancock St Ste 200
San Diego, CA 92110-2036
Other names (DBA / former)
- Doing business as
- Pacifica Senior Living Millcreek
Registry dates
- Enumerated
- 2014-08-15
- Last updated
- 2014-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.