Organization Active NPI

Ascension Living St. Vincent Pace, Inc.

  • PACE Provider Organization
  • Indianapolis, IN
National Provider Identifier
1386356970
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
ASCENSION LIVING ST. VINCENT PACE, INC.
Practice address
5435 W Pike Plaza Rd
Indianapolis, IN 46254-3010
Phone
(708) 224-6591
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
George Vieu
Title
Sr. Director of Finance
Phone
(708) 224-6591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

5435 W Pike Plaza Rd
Indianapolis, IN 46254-3010

Mailing address

5435 W Pike Plaza Rd
Indianapolis, IN 46254-3010
Phone (708) 224-6591

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
15D2274338Ascension Living St Vincent Pace, Inc5435 W Pike Plaza Road, Indianapolis, IN 46254Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1386356970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 W PIKE PLAZA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543010",
            "telephone_number": "708-224-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 W PIKE PLAZA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543010",
            "telephone_number": "708-224-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION LIVING ST. VINCENT PACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "VIEU",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "SR. DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "708-224-6591"
    },
    "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 Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.