Life Coordinated Commonwealth Pace Inc

LBN: Life Coordinated Commonwealth Pace Inc
Life Coordinated Commonwealth Pace Inc is an health care organization with primary practice located at 201 E 11Th St , Benton KY 42025-1515. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization. Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization is the primary health care specialty. Life Coordinated Commonwealth Pace Inc can be contacted via phone (866) 878-1121, or through Everitt, Nancy C via phone (615) 376-4677.

Contact Information

Primary practice address
201 E 11Th St Benton KY 42025-1515
Phone: (866) 878-1121
Fax: (855) 868-3271
Website:
Map and Directions
Authorized official contact:
Name: Everitt, Nancy C PMP
Phone: (615) 376-4677

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1265293823
LBN Legal business name Life Coordinated Commonwealth Pace Inc
DBA Doing business as
Authorized official Everitt, Nancy C PMP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about last year

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.

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