CHARLOTTESVILLE AREA RETIREMENT SERVICE, INC. (NPI# 1407296957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407296957 |
| Entity Type | Organization |
| Organization Name | CHARLOTTESVILLE AREA RETIREMENT SERVICE, INC. |
| Other Organization Name | BLUE RIDGE PACE |
| Practice Address |
1335 Carlton Ave Charlottesville VA 22902-5813 |
| Mailing Address |
1020 Old Denbigh Blvd Newport News VA 23602-2017 |
| Practice Telephone | 4345291300 |
| Practice Fax Number | 4343274100 |
| Mailing Telephone | 7578752050 |
| Mailing Fax Number | 7578752070 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2014-03-30 |
| Authorized Official Name | MR. CRAIG CONNOR (VP PACE) |
| Authorized Official Telephone | 7572348428 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE RETIREMENT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE CONTRACT NUMBER | H3473 | 01 |
| Other Name | Type Code |
|---|---|
| Blue Ridge PACE | Doing Business As Name - Organization |
| Street Address |
1335 CARLTON AVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345287 | Sarah E Wilkins | Nurse Practitioner | 1335 Carlton Ave, Charlottesville, VA 22902-5813 | 2019-03-14 |
| 1285161414 | David J Bailey | Pharmacist | 1335 Carlton Ave, Charlottesville, VA 22902-5813 | 2017-05-18 |
| 1316473127 | Riverside Pharmacy Services Charlottesville | Pharmacy | 1335 Carlton Ave, Attn Pharmacy, Charlottesville, VA 22902-5813 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1184807661 | Mountain Empire Older Citizens, Inc. | PACE Provider Organization | 1-a Industrial Park Drive, Big Stone Gap, VA 24219-0888 | 2007-12-07 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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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.