Pace Supportive Living, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PACE SUPPORTIVE LIVING, LLC.

Practice address

6886 Laburnum Dr
Canal Winchester, OH 43110-8596

Phone

(614) 862-0782

Fax

(614) 862-0783

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Dawn Osei

Title

Ceo

Phone

(614) 373-6943

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1568720845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6886 LABURNUM DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108596",
            "telephone_number": "614-862-0782",
            "fax_number": "614-862-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 LABURNUM DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108596",
            "telephone_number": "614-862-0782",
            "fax_number": "614-862-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE SUPPORTIVE LIVING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "OSEI",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-373-6943",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DODD CONTRACT NUMBER",
            "identifier": "2559995",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.