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

Extended Care Portfolio Multistate Pool Tenant, LLC

Organization Assisted Living Facility · NPI 1801295894

Extended Care Portfolio Multistate Pool Tenant, LLC is an Assisted Living Facility in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
Specialties on file
2
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

777 E 3900 S
Salt Lake City, UT 84107-2199
Phone: (801) 288-0700
Fax: (801) 288-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence UT207219 (UT)
Assisted Living Facility Taxonomy 310400000X · Licence UT000249 (UT)

Record details

NPI number1801295894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deepak Israni — Manager · (619) 296-9000
Other names Pacifica Senior Living Millcreek
NPI enumeratedAugust 15, 2014
Last updated in NPPESAugust 15, 2014
Mailing address1775 Hancock St Ste 200, San Diego, CA 92110-2036

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