Organization Active NPI

Pace Greater New Orleans

  • Exclusive Provider Organization
  • New Orleans, LA
National Provider Identifier
1164558490
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PACE GREATER NEW ORLEANS
Practice address
4201 N Rampart St
New Orleans, LA 70117-5334
Phone
(504) 945-1531
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Mr. Gordon R Wadge
Title
President
Phone
(504) 596-3099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X LA Primary

Addresses

Primary practice location

4201 N Rampart St
New Orleans, LA 70117-5334

Mailing address

4201 N Rampart St
New Orleans, LA 70117-5334
Phone (504) 945-1531

Other identifiers 1

IdentifierTypeStateIssuer
1714470MedicaidLA

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
19D1040012Pace Greater New Orleans4201 N Rampart, New Orleans, LA 70117Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hope Haven Adult Day Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1164558490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 N RAMPART ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175334",
            "telephone_number": "504-945-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N RAMPART ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175334",
            "telephone_number": "504-945-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE GREATER NEW ORLEANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "WADGE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-596-3099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714470",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.