Organization Active NPI

Allcare Pace, LLC

  • PACE Provider Organization
  • Grants Pass, OR
National Provider Identifier
1659997757
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
ALLCARE PACE, LLC
Practice address
2166 NW Vine St
Grants Pass, OR 97526-8413
Phone
(541) 471-4106
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Ms. Twila Farris
Title
Chief Executive Officer
Phone
(541) 471-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

2166 NW Vine St
Grants Pass, OR 97526-8413

Mailing address

1701 NE 7TH St
Grants Pass, OR 97526-1319
Phone (541) 471-4106

National Provider Directory

National Provider Directory

Locations

2166 NW Vine St
Grants Pass, OR 97526
Phone (541) 471-4106

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1659997757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261319",
            "telephone_number": "541-471-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 NW VINE ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975268413",
            "telephone_number": "541-471-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE PACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "TWILA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "541-471-4106",
        "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": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.