Active NPI
The Washtenaw Pace, Inc.
- PACE Provider Organization
- Ypsilanti, MI
National Provider Identifier
1174945364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- THE WASHTENAW PACE, INC.
- Doing business as
- Huron Valley PACE
- Practice address
- 2940 Ellsworth Rd
Ypsilanti, MI 48197-7406 - Phone
- (734) 572-5777
- NPI assigned
- Jan 8, 2014
- 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
- Rick Bluhm
- Title
- Executive Director
- Phone
- (734) 572-5777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
2940 Ellsworth Rd
Ypsilanti, MI 48197-7406
Mailing address
2940 Ellsworth Rd
Ypsilanti, MI 48197-7406
Phone (734) 572-5777
Other names 1
- Huron Valley 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 |
|---|---|---|---|
| 23D2066491 | The Washtenaw Pace, Inc | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389139200000",
"number": "1174945364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 ELLSWORTH RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977406",
"telephone_number": "734-572-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 ELLSWORTH RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977406",
"telephone_number": "734-572-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WASHTENAW PACE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-08",
"last_updated": "2014-01-08",
"status": "A",
"authorized_official_last_name": "BLUHM",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "734-572-5777"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Huron Valley PACE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.