MEDICARE: PACIFICA SL LANTANA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1992557672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIFICA SL LANTANA LLC

Provider Business Mailing Address
First Line	:	3061 DONNELLY DR
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-6422
Country	:	US
Telephone Number	:	561-965-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3061 DONNELLY DR
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-6422
Country	:	US
Telephone Number	:	561-965-7200
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	DEEPAK ISRANI
Credential	:
Telephone Number	:	619-296-9000

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

Similar Medicare Providers

1871897652 — ATRIA SENIOR LIVING GROUP, INC
Practice Location Address:

3061 DONNELLY DR
LANTANA, FL
33462-6422

Practice Phone: 561-965-7200
Practice Fax:

1336875905 — BROOKE CARICO OTR
Practice Location Address:

3061 DONNELLY DR
LAKE WORTH, FL
33462-6422

Practice Phone: 301-873-6863
Practice Fax:

1457288987 — HIGHLAND CARE FACILITY LLC
Practice Location Address:

1191 HIGHLAND RD
LANTANA, FL
33462-6113

Practice Phone: 346-580-2924
Practice Fax:

1174520639 — A PLUS HOME HEALTH CARE INC
Practice Location Address:

1111 HYPOLUXO RD , SUITE 107
LANTANA, FL
33462-4271

Practice Phone: 561-586-3400
Practice Fax: 561-585-0079

1568454015 — STEWART J FRIEDMAN M.D.
Practice Location Address:

1250 SOUTHWINDS DR
LANTANA, FL
33462

Practice Phone: 561-547-6800
Practice Fax: 561-547-6865

1194719609 — MRS. ALEXANDRA LOPEZ LEWIS MPAS
Practice Location Address:

401 W LANTANA RD , SUITE #4
LANTANA, FL
33462-1725

Practice Phone: 561-588-0015
Practice Fax: 561-586-9048

Directions to “PACIFICA SL LANTANA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.