Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Extended Care Portfolio Multistate Pool Tenant LLC

Organization Alzheimer Center (Dementia Center) · NPI 1265832299

Extended Care Portfolio Multistate Pool Tenant LLC is an Alzheimer Center (Dementia Center) in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16621 N 38th St
Phoenix, AZ 85032-2102
Phone: (602) 787-0800
Fax: (602) 787-0531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence AL6981C (AZ)

Record details

NPI number1265832299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deepak Israni — Manager · (619) 296-9000
Other names Pacifica Senior Living Paradise Valley
NPI enumeratedAugust 27, 2014
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1775 Hancock St Ste 200, San Diego, CA 92110-2036

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