PACE IOWA NPI 1811207889

NPI Details

PACE IOWA is a program of all inclusive care for the elderly pace provider organization in Council Bluffs, IA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. PACE IOWA NPI is 1811207889. The provider is registered as an organization entity type.
The provider Is Doing Business As Immanuel Pathways.

The provider's business location address is:

1702 N 16TH ST
COUNCIL BLUFFS, IA
ZIP 51501-121
Phone: (712) 256-7284

The provider's authorized official is Andrew J Fisher .
The authorized official title is Vp Of Community Operations and has the following contact phone number (402) 829-2954.

The CLIA number assigned to this NPI record is 28D0973430 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2010 and was last updated on 10/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: