Boldage Pace Indiana LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

BOLDAGE PACE INDIANA LLC

Doing business as

Heartland PACE

Practice address

700 E Walnut St
Evansville, IN 47713-2561

Phone

(732) 806-3223

Fax

(732) 806-3323

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Micheal Y Czermak

Title

Cao

Phone

(732) 608-1975

Specialties & licenses 1

Addresses

Other names 1

• Heartland PACE Doing business as

Tax ID family

Acutecare Pace Lucas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Acutecare Pace Lucas LLC

  • PACE Provider Organization
  • Toledo, OH
  • NPI 1902638703
  NPD tax ID

Locations

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1407543960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MOORE AVE",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "732-806-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WALNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132561",
            "telephone_number": "732-806-3223",
            "fax_number": "732-806-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLDAGE PACE INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-09-02",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "CZERMAK",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "732-608-1975"
    },
    "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": [
        {
            "organization_name": "Heartland PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M Boes, ACNP-BC
• Michael Salyer Boger, M.D.
• Michelle A Boger, MD
• Amanda E Bohleber, M.D.
• Tyler Andrew Boink, OTR/L
• James M Boling, MD
• Molly Katherine Bollman, MD
• Robert D Bond, MD
• Caitlyn Bondank, RBT
• Bone & Joint Surgeons Inc

• PACE Provider Organization in Evansville, IN
• Providers in Evansville, IN by specialty
• PACE Provider Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.