Organization Active NPI

Pace Plus Corp

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1548800345
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PACE PLUS CORP
Doing business as
Arista Home C are Solutions
Practice address
7850 W Central Ave
Toledo, OH 43617-1530
Phone
(419) 754-1897
Fax
(419) 720-0029
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Paula A Birney
Title
Owner
Phone
(419) 754-1897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7850 W Central Ave
Toledo, OH 43617-1530

Mailing address

7850 W Central Ave
Toledo, OH 43617-1530
Phone (419) 754-1897

Other identifiers 1

IdentifierTypeStateIssuer
0399817MedicaidOH

Other names 1

  • Arista Home C are Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200312000176 OH Part A Provider - Home Health Agency 5991133621 Practice locations: Toledo, OH

Home health agency certification: CCN 368170

Legal name
PACE PLUS CORP
Doing business as
ARISTA HOME CARE SOLUTIONS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 25, 2007
Last certification
Jun 7, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 17, 2014 in OH
Enrollment address
7850 W Central Ave
Toledo, OH 43617-1530
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Arista Home Care SolutionsCCN 368170 · All quality measures
Ownership
Proprietary
Certified
Jan 25, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

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
36D2276915Pace Plus Corp Dba Arista Home Care7850 W Central Ave, Toledo, OH 43617Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Locations

2620 Centennial Rd
Ste P
Toledo, OH 43617

7850 W Central Ave
Toledo, OH 43617
Phone (419) 754-1897

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paula a Birney Individual 5% Or Greater Direct Ownership InterestOwner Dec 31, 2019 50%
W-2 Managing EmployeeAdministrator Dec 31, 2019 50%
OtherAdministrator Dec 31, 2019 50%
Clayton Birney Individual 5% Or Greater Direct Ownership InterestPresident Dec 31, 2019 50%
W-2 Managing EmployeePresident Dec 31, 2019 50%

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1548800345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171530",
            "telephone_number": "419-754-1897",
            "fax_number": "419-720-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171530",
            "telephone_number": "419-754-1897",
            "fax_number": "419-720-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE PLUS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "BIRNEY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-754-1897"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399817",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arista Home C are Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arista Home C are Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.