Acutecare Pace Lucas LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

ACUTECARE PACE LUCAS LLC

Doing business as

BoldAge PACE Lucas County OH

Practice address

2121 Garden Lake Dr
Toledo, OH 43614-2776

Phone

(855) 801-2653

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Micheal Y Czermak

Title

Cao

Phone

(855) 801-2653

Specialties & licenses 1

Addresses

Other names 2

• BoldAge PACE Lucas County OH Doing business as
• BoldAge PACE Other name

Tax ID family

Acutecare Pace Lucas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Boldage Pace Indiana LLC

  dba Heartland PACE

  • PACE Provider Organization
  • Evansville, IN
  • NPI 1407543960
  NPD tax ID

Locations

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1902638703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MOORE AVE STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153552",
            "telephone_number": "855-801-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 GARDEN LAKE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142776",
            "telephone_number": "855-801-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTECARE PACE LUCAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "CZERMAK",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "855-801-2653"
    },
    "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": [
        {
            "organization_name": "BoldAge PACE Lucas County OH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BoldAge PACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Douglas Lee Ackerman
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• Valeria V Acuna
• Acute Urgent Care Inc
• Brett Adair, D.O.
• Dolon Adam
• Karen Moteller Adams-Ferguson, M.D.
• Andrea R Adams, FNP-C
• Asia Adams

• PACE Provider Organization in Toledo, OH
• Providers in Toledo, OH by specialty
• PACE Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.