Organization Active NPI

Pace KC, LLC

  • PACE Provider Organization
  • Kansas City, MO
National Provider Identifier
1285228312
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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

Updated by the provider on Oct 27, 2023

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)CodeLicenseStatePrimary
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 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
26D2287338Pace KC Adult Wellness Center4141 Dr Martin Luther King Jr Blvd, Kansas City, MO 64130Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.