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

Pacifica Sagebrush LLC

Organization Assisted Living Facility · NPI 1104425933

Pacifica Sagebrush LLC is an Assisted Living Facility in Las Vegas, Nevada. Registered with an NPI since 2020.

In the registry since
2020
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

8374 W Capovilla Ave
Las Vegas, NV 89113-3305
Phone: (702) 222-3600
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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

Record details

NPI number1104425933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deepak Israni — Owner · (619) 296-9000
Other names Pacifica Senior Living San Martin
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address8374 W Capovilla Ave, Las Vegas, NV 89113-3305

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