Organization Active NPI

The Cascade Pace, Inc.

  • PACE Provider Organization
  • Jackson, MI
National Provider Identifier
1083071823
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
THE CASCADE PACE, INC.
Practice address
2282 Springport Rd
Jackson, MI 49202-1460
Phone
(517) 768-9791
Fax
(517) 783-5223
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Ms. Susan J Decker, MM, LBSW
Title
Director of Operations
Phone
(517) 768-9791

Specialties & licenses 1

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

Addresses

Primary practice location

2282 Springport Rd
Jackson, MI 49202-1460

Mailing address

2282 Springport Rd
Jackson, MI 49202-1460
Phone (517) 768-9791

Other names 1

  • Thome PACE Doing business as

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
23D2097174The Cascade Pace, Inc2282 Springport Road, Jackson, MI 49202Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory

Locations

2282 Springport Rd
Jackson, MI 49202
Phone (517) 768-9791

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1083071823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 SPRINGPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021460",
            "telephone_number": "517-768-9791",
            "fax_number": "517-783-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 SPRINGPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021460",
            "telephone_number": "517-768-9791",
            "fax_number": "517-783-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CASCADE PACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "517-768-9791",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MM, LBSW"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thome PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.