Pace4Dc LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PACE4DC LLC

Practice address

1231 Good Hope Rd SE
Washington, DC 20020-6907

Phone

(720) 530-4082

NPI assigned

Dec 9, 2021

Organization subpart

No

Name

Thomas Reiter, EVP

Title

Program Manager

Phone

(720) 530-4082

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2021.

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1043979875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206907",
            "telephone_number": "720-530-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206907",
            "telephone_number": "720-530-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE4DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "720-530-4082",
        "authorized_official_credential": "EVP"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milca Pabon
• Charlette Pace, CPNP-AC
• Kristine B Pace, PA
• Lashana Pace
• Tracy Pace, LICSW
• David Pacheco
• Jennifer Pacheco, HHA
• Marcial Antonio Pacheco, CAC-I
• Thomas Barba Pacheco
• Laura J. Pachelli, MSN/FNP-BC

• All providers in Washington, DC
• PACE Provider Organization in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.