MOUNTAIN EMPIRE OLDER CITIZENS, INC. (NPI# 1184807661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184807661 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN EMPIRE OLDER CITIZENS, INC. |
| Other Organization Name | MOUNTAIN EMPIRE PACE |
| Practice Address |
1-a Industrial Park Drive Big Stone Gap VA 24219-0888 |
| Mailing Address |
Po Box 888 1-a Industrial Park Road Big Stone Gap VA 24219-0888 |
| Practice Telephone | 2765234202 |
| Practice Fax Number | 2765234208 |
| Mailing Telephone | 2765234202 |
| Mailing Fax Number | 2765234208 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | MS. MARILYN PACE MAXWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2765234202 |
| Authorized Official Credential | M.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PACE | H5037 | 01 |
| Other Name | Type Code |
|---|---|
| Mountain Empire PACE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972534659 | Mountain Empire Older Citizens, Inc. | Hospice Care, Community Based | 1520 3rd Ave E, Big Stone Gap, VA 24219-3114 | 2006-07-05 |
| Street Address |
1-A INDUSTRIAL PARK DRIVE |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219-0888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| 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 |
|---|---|---|---|---|
| 1881930055 | Mountain Empire Older Citzens Pace | PACE Provider Organization | 1508 3rd Ave East, Big Stone Gap, VA 24219-0888 | 2012-12-17 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
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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.