Organization Active NPI

Trinity Health Pace of Pensacola Inc

  • PACE Provider Organization
  • Pensacola, FL
National Provider Identifier
1285323352
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
TRINITY HEALTH PACE OF PENSACOLA INC
Practice address
5020 Commerce Park Cir
Pensacola, FL 32505-1869
Phone
(850) 806-0900
Fax
(850) 806-0901
NPI assigned
May 4, 2023
Organization subpart
Yes
Parent organization
TRINITY HEALTH PACEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Travis Garrett, MBA, BSN, RN
Title
Executive Director
Phone
(850) 806-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

5020 Commerce Park Cir
Pensacola, FL 32505-1869

Mailing address

5020 Commerce Park Cir
Pensacola, FL 32505-1869
Phone (850) 806-0900

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
10D2281323Trinity Health Pace of Pensacola5020 Commerce Park Cir, Pensacola, FL 32505Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory
Part of
Mercy Adult Day Health of Westfield

Locations

5020 Commerce Park Cir
Pensacola, FL 32505
Phone (850) 806-0900

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1285323352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 COMMERCE PARK CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051869",
            "telephone_number": "850-806-0900",
            "fax_number": "850-806-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 COMMERCE PARK CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051869",
            "telephone_number": "850-806-0900",
            "fax_number": "850-806-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH PACE OF PENSACOLA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH PACE",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-806-0830",
        "authorized_official_credential": "MBA, 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": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.