Active NPI
Pace KC, LLC
- PACE Provider Organization
- Kansas City, MO
National Provider Identifier
1285228312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- PACE KC, LLC
- Practice address
- 4141 Dr. Martin Luther King Jr. Blvd
Kansas City, MO 64130-2807 - Phone
- (816) 321-3300
- NPI assigned
- Mar 1, 2021
- 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
- Mr. Heath Lloyd Rath
- Title
- Executive Director
- Phone
- (816) 321-3250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
4141 Dr. Martin Luther King Jr. Blvd
Kansas City, MO 64130-2807
Mailing address
3801 Blue Pkwy
Kansas City, MO 64130-2807
Phone (816) 321-3300
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 |
|---|---|---|---|
| 26D2287338 | Pace KC Adult Wellness Center | Certificate of waiver | Aug 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
4141 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 321-3299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698364800000",
"number": "1285228312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 BLUE PKWY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641302807",
"telephone_number": "816-321-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 DR. MARTIN LUTHER KING JR. BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641302807",
"telephone_number": "816-321-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACE KC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-01",
"last_updated": "2023-10-27",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "RATH",
"authorized_official_first_name": "HEATH",
"authorized_official_middle_name": "LLOYD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "816-321-3250",
"authorized_official_name_prefix": "Mr."
},
"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": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.