PACE OF THE SOUTHERN PIEDMONT


Address: 6133 The Plaza, Charlotte, NC 28215
Phone: 7048873840

PACE OF THE SOUTHERN PIEDMONT (NPI# 1730439571) 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) 1730439571
Entity Type Organization
Organization Name PACE OF THE SOUTHERN PIEDMONT
Practice Address 6133 The Plaza
Charlotte
NC 28215
Practice Telephone 7048873840
Practice Fax Number 7048873844
Mailing Telephone 7048873840
Mailing Fax Number 7048873844
Enumeration Date 2012-09-19
Last Update Date 2012-09-19
Authorized Official Name MR. JAMES RICHARD GRAHAM (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7048873840
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization NC Agencies

Office Location

Street Address 6133 THE PLAZA
City CHARLOTTE
State NC
Zip Code 28215

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1679111769 Lawana Ussery Hill Case Management 1740 Misty Morn Drive, Charlotte, NC 28215 2019-12-19
1053961110 Tonya Anita Brown Behavior Technician 10230 White Oak Rd, Charlotte, NC 28215 2019-09-19
1780242412 Mikhail A Rybin Registered Nurse 7502 Malden Park Drive, Charlotte, NC 28215 2019-05-29
1033698527 Novant Medical Group, Inc Internal Medicine 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 2018-08-07
1538646088 Andrew Simpson Pharmacist 3805 Rocky River Rd, Charlotte, NC 28215 2018-07-26
1154818425 Korinne A Umlauft Specialist/Technologist 8618 Terra Cotta Dr, Charlotte, NC 28215 2018-04-22
1477058196 Harmony Health Pllc Community/Behavioral Health 8633 Pine Circle, Charlotte, NC 28215 2018-03-26
1639671357 Total Renal Care of North Carolina LLC Clinic/Center 9562 Rocky River Rd, Charlotte, NC 28215 2018-03-08
1588166060 Allcare Medical Center,pllc Internal Medicine 7401 The Plaza, Charlotte, NC 28215 2018-03-01
1851891774 Bio-medical Applications of North Carolina, Inc. Clinic/Center 3211 Bishops Way Lane, Charlotte, NC 28215 2018-02-16
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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 state

NPI Name Taxonomy Address Enumeration
1417490202 Angels At Heart Assisted Living PACE Provider Organization 140 Kent Road, Salisbury, NC 28147 2016-11-28
1376986679 Piedmont Health Services, Inc PACE Provider Organization 220 Chatham Business Dr, Pittsboro, NC 27312-5603 2013-04-17
1093075905 Carolina Seniorcare PACE Provider Organization 802 E Center St, Lexington, NC 27292-4402 2012-05-24
1114246956 Mayo's Loving Care PACE Provider Organization 105 Krista Ln, Rocky Mount, NC 27803-5228 2010-05-19
1447485396 Lift Day Activity Center PACE Provider Organization 701 E Young Street, Rolesville, NC 27571 2009-05-21
1932302361 Dunn's House of Love and Devoted Care, Inc. PACE Provider Organization 1846 E Trail Dr Se, 1812 Birchwood Dr., Wilson, NC 27893-8732 2007-06-05
1427692680 Carepartners Rehabilitation Hospital, Lllp PACE Provider Organization 286 Overlook Rd, Asheville, NC 28803-3317 2019-10-31
1063977338 Ricas Angels Home Health Care LLC PACE Provider Organization 221 N Elm St, Lumberton, NC 28358-5647 2019-01-31
1659898906 Mission Hospital, Inc PACE Provider Organization 286 Overlook Rd, Asheville, NC 28803-3317 2017-08-28
1538579511 Community Carepartners, Inc. PACE Provider Organization 286 Overlook Rd, Asheville, NC 28803-3317 2014-04-30
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Competitor

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City CHARLOTTE
Zip Code 28215

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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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