NPIMap

Organization Active NPI

Ichs Pace

  • PACE Provider Organization
  • Seattle, WA
National Provider Identifier
1669024527
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
ICHS PACE
Practice address
803 S Lane St
Seattle, WA 98104-3044
Phone
(206) 788-3759
NPI assigned
Jul 11, 2019
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERNATIONAL COMMUNITY HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Hermes Shahbazian
Title
Cfo
Phone
(206) 788-3618

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
PACE Provider Organization 251T00000X Primary
Adult Day Care Clinic/Center 261QA0600X
Health Service Clinic/Center 261QH0100X
Assisted Living Facility 310400000X
Respite Care 385H00000X

Addresses

Primary practice location

803 S Lane St
Seattle, WA 98104-3044

Mailing address

PO Box 3007
Seattle, WA 98114-3007

National Provider Directory

National Provider Directory
Tax ID family
International Dist C H33 organizations share this tax ID, including this one
Part of
International Dist C H

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1669024527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S LANE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043044",
            "telephone_number": "206-788-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHS PACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNATIONAL COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2019-07-11",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZIAN",
        "authorized_official_first_name": "HERMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-788-3618"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.