Provider Demographics
NPI:1417739996
Name:PACE HEALING HELPERS LLC
Entity Type:Organization
Organization Name:PACE HEALING HELPERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CEDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-681-3125
Mailing Address - Street 1:720 EXECUTIVE PARK DR STE 1700
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-2387
Mailing Address - Country:US
Mailing Address - Phone:317-828-9088
Mailing Address - Fax:
Practice Address - Street 1:720 EXECUTIVE PARK DR STE 1700
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-2387
Practice Address - Country:US
Practice Address - Phone:317-828-9088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care