ICHS PACE (NPI# 1669024527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
803 S LANE ST |
City | SEATTLE |
State | WA |
Zip Code | 98104-3044 |
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 |
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 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 |
---|---|---|---|---|
1841762382 | Welltower Cogir Tenant LLC | PACE Provider Organization | 11501 15th Ave Ne, Seattle, WA 98125-6320 | 2018-12-21 |
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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.