COMMUNITY PACE AT HOME, INC (NPI# 1427598713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427598713 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PACE AT HOME, INC |
| Practice Address |
231 W Pine Lake Dr Newaygo MI 49337-9264 |
| Practice Telephone | 6166177565 |
| Mailing Telephone | 6166177565 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | AARON LEESTMA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2316524618 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Street Address |
231 W PINE LAKE DR |
| City | NEWAYGO |
| State | MI |
| Zip Code | 49337-9264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477690428 | Grandview Foot and Ankle PC | Podiatrist | 231 W Pine Lake Dr, Suite Number 102, Newaygo, MI 49337-8028 | 2007-01-31 |
| 1568075364 | Lucille Yurko Vanderwoude | Nurse Practitioner | 231 W Pine Lake Dr, Newaygo, MI 49337-9264 | 2020-08-31 |
| 1740842657 | Michelle Jayme Kloss | Nurse Practitioner | 231 W Pine Lake Dr, Newaygo, MI 49337-9264 | 2019-07-01 |
| 1891100475 | Kay Cole | Social Worker | 231 W Pine Lake Dr, Newaygo, MI 49337-8028 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558907824 | Community Hospice, Inc | Hospice Care, Community Based | 181 West River Valley, Newaygo, MI 49337 | 2019-11-21 |
| 1295289973 | Kayla Rose Smith | Social Worker | 232 E 82nd St., Newaygo, MI 49337 | 2016-08-10 |
| 1952674954 | Herminigilda Dadulia Delantar | Physical Therapist | 211 W Pine Lake Drive, Newaygo, MI 49337 | 2012-02-22 |
| 1194982355 | Gale Ann Beach | Social Worker | 12 W Wood, Newaygo, MI 49337 | 2008-05-16 |
| 1275652224 | Jackie Ann Malsom | Social Worker | 12 West Wood, Newaygo, MI 49337 | 2007-03-29 |
| 1841318755 | Joyce Marie Dykstra | Psychologist | 12 W Wood St, Newaygo, MI 49337 | 2007-03-27 |
| 1689726531 | Ronald Paul Leyder | Dentist | 7166 S Croton Hardy Drive, Newaygo, MI 49337 | 2007-01-18 |
| 1356434849 | Melinda Meendering | Physical Therapist | 194 E 82nd St, Newaygo, MI 49337 | 2006-10-02 |
| 1528168929 | Susan Magee Wente | Advanced Practice Midwife | 116 W Northland Drive, Newaygo, MI 49337 | 2006-09-25 |
| 1043263825 | Shopko Stores Operating Co LLC | Pharmacy | 91 Pine Lake Dr, Newaygo, MI 49337 | 2006-05-19 |
| Find all providers in zip 49337 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339311 | Kelly R Niezurawski | PACE Provider Organization | 6500 N Hawkins Hwy, Manitou Beach, MI 49253-9736 | 2020-02-25 |
| 1881253540 | Sears Transportaion, LLC | PACE Provider Organization | 17800 Northland Park Ct Ste 104b2, Southfield, MI 48075-4304 | 2019-06-06 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1528549300 | Sonja Hunter | PACE Provider Organization | 14459 Greenview Rd, Detroit, MI 48223-2913 | 2018-08-28 |
| 1639687213 | Eastern Grouphome | PACE Provider Organization | 5770 Eastern Ave Se, Grand Rapids, MI 49508-6281 | 2018-01-17 |
| 1578845095 | Comforter Care Agency | PACE Provider Organization | 4830 Malpaso, Lansing, MI 48917-1554 | 2011-09-10 |
| 1427282136 | Jcb Adult Day Services | PACE Provider Organization | 21500 Greenfield Rd, Suite 201, Oak Park, MI 48237-3009 | 2009-05-08 |
| 1598964926 | Finner-williams & Associates | PACE Provider Organization | 17620 W Mcnichols Rd, Detroit, MI 48235-3327 | 2007-07-16 |
| 1043422660 | Progressive Lifestyles, Inc. | PACE Provider Organization | 2669 Potter Rd, Wixom, MI 48393-1832 | 2007-05-04 |
| 1639244734 | Clean House, Inc. | PACE Provider Organization | 24750 Swanson Rd, Southfield, MI 48034-5320 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.