Taxonomy code
251T00000X: PACE Provider Organization
251T00000X is the NUCC provider taxonomy code for Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, in the Agencies group.
Code details
- Code
- 251T00000X
- Grouping
- Agencies
- Classification
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Specialization
- None (this is the general classification code)
- Display name
- PACE Provider Organization
- Used by
- Organizations (NPI-2)
NUCC definition
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.
Choosing a taxonomy code
Providers can list up to 15 taxonomy codes on their NPI record and must mark one as primary. Payers often check that the taxonomy code on a claim matches the one on the NPI record, so a mismatch is a common reason for denials.