Kinship Pace of Indiana LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

KINSHIP PACE OF INDIANA LLC

Practice address

1453 E 10TH St
Jeffersonville, IN 47130-4204

Phone

(570) 371-7371

NPI assigned

Feb 10, 2025

Organization subpart

Yes

Parent organization

CITIPACE HOLDING COMPANYAs reported in NPPES

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

Authorized official

Name

Judy Kohn

Title

Interim Ceo, Chief Strategy Officer

Phone

(917) 270-0599

Specialties & licenses 1

Addresses

Other names 2

• Kinship PACE of Indiana - Jeffersonville Other name
• Kinship PACE of Indiana - Kokomo Other name

Tax ID family

Kinship Pace of Indiana - Jeffersonville2 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.

• Kinship Pace of Indiana LLC

  • PACE Provider Organization
  • Kokomo, IN
  • NPI 1538983622
  NPD tax ID

Locations

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1942015813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304204",
            "telephone_number": "570-371-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSHIP PACE OF INDIANA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITIPACE HOLDING COMPANY",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "INTERIM CEO, CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "917-270-0599"
    },
    "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": "Kinship PACE of Indiana - Jeffersonville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kinship PACE of Indiana - Kokomo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Samantha Klee, RBT
• Rachel L Klein

• PACE Provider Organization in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• PACE Provider Organization in Indiana

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