Acutecare Pace Montgomery LLC
PACE Provider Organization in Moraine, OH. Organization (NPI-2).
NPI number1215769849
StatusActive
Last updated in NPPESApr 10, 2025
Details
- NPI
- 1215769849
- Entity type
- Organization (NPI-2)
- Legal business name
- Acutecare Pace Montgomery LLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2024
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251T00000X | PACE Provider Organization | – | – | Yes |
Other names
- Boldage Pace Montgomery County Oh (Doing Business As)
- Boldage Pace (Other Name)
Practice location
200 Daruma PkwyMoraine, OH 45439-7909
Phone 732-806-3205
Mailing address
106 W Moore Ave Ste AMooresville, NC 28115-3552
Phone 732-806-3205
Authorized official
Michael Czermak
Chief Administrative Officer
8558012653
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.