Taxonomy Code 251T00000X(251t00000x)
PACE Provider Organization. Providers: 12

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PACE Provider Organization Providers

NPI Name Type Address

1174881627

St. Agnes Continuing Care Center

Organization

1930 S Broad St

Philadelphia, PA

1083026082

Samera Butler

Individual

1213 Vine St Ste 108

Philadelphia, PA

1043683956

Celestine Braaf

Individual

1211 Vine St Ste 113

Philadelphia, PA

1710347661

Trinity Health Life Pennsylvania, Inc.

Organization

4508 Chestnut St

Philadelphia, PA

1104954569

Innovage Pennsylvania Life, Llc

Organization

6950 Germantown Ave

Philadelphia, PA

1881738565

Saint Agnes Continuing Care Center

Organization

1900 S Broad St

Philadelphia, PA

1538210380

Trustees Of The University Of Pennsylvania

Organization

4101 Woodland Ave

Philadelphia, PA

1588279657

Innovage Pennsylvania Life, Llc

Organization

4401 Megargee St

Philadelphia, PA

1013519735

Innovage Pennsylvania Life, Llc

Organization

1940 W Allegheny Ave

Philadelphia, PA

1467056655

Innovage Pennsylvania Life, Llc

Organization

5364 Jackson St

Philadelphia, PA

1023612264

Innovage Pennsylvania Life, Llc

Organization

3232 Henry Ave

Philadelphia, PA

1619597747

Abdul M Asquith

Individual

2 Logan Sq Ste 300

Philadelphia, PA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 251T00000X
Display Name PACE Provider Organization
Taxonomy Group Agencies
Taxonomy Classification Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
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.
Effective Date September 30, 2009
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Other Taxonomy Codes

Point of Service

305S00000X • providers: 2,502

Mechanotherapist

172M00000X • providers: 2,090

Electrodiagnostic Medicine Physician

204R00000X • providers: 339

Physical Therapy Clinic/Center

261QP2000X • providers: 16,762

Mobile Radiology Clinic/Center

261QR0208X • providers: 1,102

Urology Registered Nurse

163WU0100X • providers: 48

Orthoptist

156FX1900X • providers: 32

Podiatric Clinic/Center

261QP1100X • providers: 877

Surgery of the Hand (Surgery) Physician

2086S0105X • providers: 594

Surgery of the Hand (Plastic Surgery) Physician

2082S0105X • providers: 435

Registered Dietitian

133V00000X • providers: 54,129

Corporate Health Clinic/Center

261QC1800X • providers: 350

Independent Medical Examiner Chiropractor

111NI0013X • providers: 434

Deactivated - Psychologist

103TE1000X • providers: 0

Perinatal Registered Nurse

163WP1700X • providers: 111

Perioperative Clinical Nurse Specialist

364SP2800X • providers: 80

Biochemist

246ZB0500X • providers: 11

Hospice and Palliative Medicine (Emergency Medicine) Physician

207PH0002X • providers: 156

Orientation and Mobility Training Rehabilitation Counselor

225CX0006X • providers: 135

Certified Registered Nurse Anesthetist

367500000X • providers: 68,434