Active NPI
The Cascade Pace, Inc.
- PACE Provider Organization
- Jackson, MI
National Provider Identifier
1083071823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 23D2097174 | The Cascade Pace, Inc | Certificate of waiver | Jun 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.