Pace North

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PACE NORTH

Practice address

2325 Garfield Road N.
Traverse City, MI 49686

Phone

(231) 252-3814

Fax

(231) 252-3750

NPI assigned

Mar 12, 2019

Organization subpart

Yes

Parent organization

GRAND TRAVERSE PAVILIONSAs reported in NPPES

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

Authorized official

Name

Sherrie A. Moseler, BSN, RN

Title

Executive Director

Phone

(231) 252-3814

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

K-Town Youth Care

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Grand Traverse Pavilions

  • Rehabilitation Clinic/Center
  • Traverse City, MI
  • NPI 1649304270
  NPPES parent name

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1194283846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 GARFIELD ROAD N.",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-252-3814",
            "fax_number": "231-252-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 GARFIELD ROAD N.",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-252-3814",
            "fax_number": "231-252-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE NORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND TRAVERSE PAVILIONS",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "MOSELER",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-252-3814",
        "authorized_official_credential": "BSN, RN"
    },
    "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": []
}

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• PACE Provider Organization in Traverse City, MI
• Providers in Traverse City, MI by specialty
• PACE Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.