THE WASHTENAW PACE, INC. (NPI# 1174945364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174945364 |
| Entity Type | Organization |
| Organization Name | THE WASHTENAW PACE, INC. |
| Other Organization Name | HURON VALLEY PACE |
| Practice Address |
2940 Ellsworth Rd Ypsilanti MI 48197-7406 |
| Practice Telephone | 7345725777 |
| Mailing Telephone | 7345725777 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | RICK BLUHM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7345725777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Other Name | Type Code |
|---|---|
| Huron Valley PACE | Doing Business As Name - Organization |
| Street Address |
2940 ELLSWORTH RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-7406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770628430 | Philip Alan Hall | Social Worker | 2940 Ellsworth Rd, Cst Youth and Family Services, Ypsilanti, MI 48197-7406 | 2007-02-20 |
| 1417579962 | Mieko Diener | Dietitian, Registered | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2020-05-07 |
| 1366971558 | Lazarus Okammor | Nurse Practitioner | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2017-06-09 |
| 1497034094 | Nancy Ann Terhar | Registered Nurse | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2011-08-12 |
| 1972741072 | Leah C Robertson | Social Worker | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2009-01-27 |
| 1467601849 | Richard James Deighton | Social Worker | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2008-09-10 |
| 1194903252 | Jill Deanne Smith | Social Worker | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2008-01-31 |
| 1417133513 | Pamela P Dimitrie | Registered Nurse | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2008-01-18 |
| 1346372646 | Gary Dimitrie | Social Worker | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2007-03-12 |
| 1437294055 | Michael Charles Mazzie | Social Worker | 2940 Ellsworth Rd, Youth and Family Services, Ypsilanti, MI 48197-7406 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
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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.