Active NPI
Trinity Health Pace of Alexandria
- PACE Provider Organization
- Alexandria, LA
National Provider Identifier
1053002428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- TRINITY HEALTH PACE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2292959 | Trinity Health Pace Alexandria | Certificate of waiver | Oct 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.