Innovage Greater California Pace

LBN: Total Longterm Care, Inc
Innovage Greater California Pace is an health care organization with primary practice located at 410 E Parkcenter Cir N , San Bernardino CA 92408-2869. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Total Longterm Care, Inc can be contacted via phone (909) 488-4258, or through Washington, Gayle via phone (039) 127-1933.

Contact Information

Primary practice address
410 E Parkcenter Cir N San Bernardino CA 92408-2869
Phone: (909) 488-4258
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Washington, Gayle
Phone: (039) 127-1933

Health care specialties

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

Profile Details

NPI number 1023457595
LBN Legal business name Total Longterm Care, Inc
DBA Doing business as Innovage Greater California Pace
Authorized official Washington, Gayle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2013
Last updated May 31st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023457595 NPPES
California Other H6079 MEDICARE CONTRACT NUMBER

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