Provider Demographics
NPI:1710069786
Name:PACE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PACE HOME HEALTH CARE, INC.
Other - Org Name:OHIOANS HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-843-4422
Mailing Address - Street 1:3840 PACKARD ST STE 200B
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2280
Mailing Address - Country:US
Mailing Address - Phone:419-843-4422
Mailing Address - Fax:
Practice Address - Street 1:1705 WOODLAND DR STE 204A
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1606
Practice Address - Country:US
Practice Address - Phone:419-843-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237615Medicare Oscar/Certification