Organization Active NPI

Trinity Health Pace of Alexandria

  • PACE Provider Organization
  • Alexandria, LA
National Provider Identifier
1053002428
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
TRINITY HEALTH PACE OF ALEXANDRIA
Practice address
3403 Government St
Alexandria, LA 71302-3321
Phone
(318) 206-1000
Fax
(318) 206-1099
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTH PACEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wayne Raymond Plaisance, CPA, NFA
Title
Executive Director
Phone
(318) 206-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X NU Primary

Addresses

Primary practice location

3403 Government St
Alexandria, LA 71302-3321

Mailing address

3403 Government St
Alexandria, LA 71302-3321
Phone (318) 206-1000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2292959Trinity Health Pace Alexandria3403 Government Street, Alexandria, LA 71302Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory
Part of
Trinity Health Academic Internal Medicine-Northwest Livonia

Locations

3403 Government St
Alexandria, LA 71302
Phone (318) 206-1000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1053002428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 GOVERNMENT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023321",
            "telephone_number": "318-206-1000",
            "fax_number": "318-206-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 GOVERNMENT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023321",
            "telephone_number": "318-206-1000",
            "fax_number": "318-206-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH PACE OF ALEXANDRIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH PACE",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "PLAISANCE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-206-1000",
        "authorized_official_credential": "CPA, NFA"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.