ICHS PACE


Address: 803 S Lane St, Seattle, WA 98104-3044
Phone: 2067883759

ICHS PACE (NPI# 1669024527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669024527
Entity Type Organization
Organization Name ICHS PACE
Practice Address 803 S Lane St
Seattle
WA 98104-3044
Mailing Address Po Box 3007
Seattle
WA 98114-3007
Practice Telephone 2067883759
Enumeration Date 2019-07-11
Last Update Date 2019-07-16
Authorized Official Name HERMES SHAHBAZIAN (CFO)
Authorized Official Telephone 2067883618
Is Organization Subpart Y
Parent Organization Name INTERNATIONAL COMMUNITY HEALTH SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174200000X Meals Other Service Providers
N 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities
N 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities
N 310400000X Assisted Living Facility Nursing & Custodial Care Facilities
N 385H00000X Respite Care Respite Care Facility
Y 251T00000X PACE Provider Organization Agencies

Office Location

Street Address 803 S LANE ST
City SEATTLE
State WA
Zip Code 98104-3044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558462788 Annie Y Lam Pharmacist 803 S Lane St, Seattle, WA 98104-3044 2006-09-26
1356809339 Martha Van Gelder Occupational Therapist 803 S Lane St, Seattle, WA 98104-3044 2019-03-08
1194223412 International Community Health Services Meals 803 S Lane St, Seattle, WA 98104-3044 2018-02-01
1689805368 Seattle Chinatown International District Preservation & Development Au Assisted Living Facility 803 S Lane St, Seattle, WA 98104-3044 2009-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
Find all providers in zip 98104

Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841762382 Welltower Cogir Tenant LLC PACE Provider Organization 11501 15th Ave Ne, Seattle, WA 98125-6320 2018-12-21

Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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