INNOVAGE VIRGINIA PACE II, LLC (NPI# 1124512637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124512637 |
| Entity Type | Organization |
| Organization Name | INNOVAGE VIRGINIA PACE II, LLC |
| Other Organization Name | INNOVAGE VIRGINA PACE-PENINSULA |
| Practice Address |
1300 Mactavish Ave Richmond VA 23230-4633 |
| Mailing Address |
8950 E Lowry Blvd Denver CO 80230-7030 |
| Practice Telephone | 8049775990 |
| Mailing Telephone | 3038694664 |
| Mailing Fax Number | 3039961600 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | MS. MAUREEN HEWITT (CEO) |
| Authorized Official Telephone | 3038694664 |
| Is Organization Subpart | Y |
| Parent Organization Name | TOTAL COMMUNITY OPTIONS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | VA | Agencies |
| Other Name | Type Code |
|---|---|
| InnovAge Virgina PACE-Peninsula | Doing Business As Name - Organization |
| InnovAge Virginia PACE - Newport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215422548 | Innovage Virginia Pace II, LLC | PACE Provider Organization | 439 Oriana Rd, Newport News, VA 23608-3702 | 2018-06-28 |
| Street Address |
1300 MACTAVISH AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497994594 | Riverside Healthcare Services | Pharmacy | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2009-02-12 |
| 1093229353 | Jordan Faith Damiano | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2017-11-24 |
| 1841684867 | Tiffany Pajic | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2015-03-27 |
| 1871886655 | Riverside Retirement Services, Inc. | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-26 |
| 1780977538 | Richmond Area Compassionate Care Pharmacy | Pharmacy | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4633 | 2011-05-25 |
| 1932491073 | Mary K. Branzelle | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-09 |
| 1104117134 | Ronald Alfred Gregory | Pharmacist | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4616 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| 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 |
|---|---|---|---|---|
| 1467074682 | Reid Hospital & Health Care Services, Inc. | PACE Provider Organization | 2300 National Rd W, Richmond, IN 47374-4625 | 2020-05-11 |
| 1952547614 | Due Season Hospice and Homecare Agency, Inc | PACE Provider Organization | 3806 Chamberlayne Ave Ste 18a, Richmond, VA 23227-4110 | 2008-12-31 |
| 1366629610 | Wise Enterprise, Incorporated | PACE Provider Organization | 4895 Burnham Rd, Richmond, VA 23234-3711 | 2008-01-29 |
| 1417147042 | Drug and Alcohol Services LLC | PACE Provider Organization | 2926 W Marshall St, Richmond, VA 23230-4811 | 2007-07-30 |
| 1871886655 | Riverside Retirement Services, Inc. | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-26 |
| 1497990857 | Riverside Retirement Services, Inc. | PACE Provider Organization | 701 Gordon Ave, Richmond, VA 23224-7019 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871951376 | True Select, LLC | PACE Provider Organization | 3949 Pender Dr., Suite 230, Fairax, VA 22030 | 2016-01-29 |
| 1780059840 | The Long Advocacy Group | PACE Provider Organization | 483 Main Street, Warsaw, VA 22572 | 2015-12-01 |
| 1629410402 | Born Again Ministries | PACE Provider Organization | 2545 Murray Ave, Norfolk, VA 23518-4521 | 2013-07-22 |
| 1407296957 | Charlottesville Area Retirement Service, Inc. | PACE Provider Organization | 1335 Carlton Ave, Charlottesville, VA 22902-5813 | 2013-06-28 |
| 1346684974 | Innovage Virginia Pace - Roanoke Valley, LLC | PACE Provider Organization | 5251 Concourse Dr, Roanoke, VA 24019-3081 | 2013-04-25 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1194098848 | Riverside Retirement Service | PACE Provider Organization | 439 Oriana Road, Newport News, VA 23608 | 2012-02-10 |
| 1447537758 | Riverside Retirement Service, Inc | PACE Provider Organization | 319 Brown St, Petersburg, VA 23803-4247 | 2011-11-15 |
| 1184807661 | Mountain Empire Older Citizens, Inc. | PACE Provider Organization | 1-a Industrial Park Drive, Big Stone Gap, VA 24219-0888 | 2007-12-07 |
| 1811109770 | Appalachian Agency for Senior Citizens | PACE Provider Organization | 216 College Ridge Road, Cedar Bluff, VA 24609 | 2007-05-04 |
| 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.