Agewell Pace

LBN: Agewell Pace
Agewell Pace is an health care organization with primary practice located at 5789 State Farm Dr Ste 110 , Rohnert Park CA 94928-6308. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Agewell Pace can be contacted via phone (707) 615-4437, or through Whitacre, Derrick via phone (707) 615-4437.

Contact Information

Primary practice address
5789 State Farm Dr Ste 110 Rohnert Park CA 94928-6308
Phone: (707) 615-4437
Fax: (707) 615-6955
Website:
Map and Directions
Authorized official contact:
Name: Whitacre, Derrick
Phone: (707) 615-4437

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1437833597
LBN Legal business name Agewell Pace
DBA Doing business as
Authorized official Whitacre, Derrick
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2023
Last updated Jun 9th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers