Pace at Hudson Headwaters

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PACE AT HUDSON HEADWATERS

Practice address

38 Larose St
Glens Falls, NY 12801-4025

Phone

(518) 886-7213

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michele Boxley

Title

Vice President of Finance and Contr

Phone

(518) 886-7213

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1629813498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAROSE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014025",
            "telephone_number": "518-886-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAROSE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014025",
            "telephone_number": "518-886-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE AT HUDSON HEADWATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "BOXLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE AND CONTR",
        "authorized_official_telephone_number": "518-886-7213",
        "authorized_official_name_prefix": "Ms."
    },
    "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": []
}

• Thomas Osika, PHD
• Katelyn Ostrander, PHARMD
• Kelly Nicole Otten, OTR/L
• Owen Garrett Ovitt
• Heather Oxberry, FNP-C
• Christopher Dabin Pae
• Dawn Alena Palmer, LPN
• Diana Marie Layous Palmer, LMFT
• Meghan Palmer, CRNA
• Alexa Suzanne Palmieri, PA-C

• PACE Provider Organization in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• PACE Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.