WEST BALTIMORE PACE COMMUNITY COALITION, LLC – NPI #1023870284
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

WEST BALTIMORE PACE COMMUNITY COALITION, LLC is a PACE organization located in BALTIMORE, MD. NPPES recently assigned the NPI number 1023870284 to WEST BALTIMORE PACE COMMUNITY COALITION, LLC on January 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 251T00000X from the Health Care Provider Taxonomy code set, which is classified as Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST BALTIMORE PACE COMMUNITY COALITION, LLC below.

NPI Profile for
WEST BALTIMORE PACE COMMUNITY COALITION, LLC

NPI Number
1023870284
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST BALTIMORE PACE COMMUNITY COALITION, LLC
Primary location
3201A TIOGA PKWY STE A
BALTIMORE, MD 21215-7987
Phone: (443) 961-0796 Fax: (443) 961-0797
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN BILLINGSLEY
CHIEF ADMINISTRATION OFFICER
Phone: (617) 594-7753
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251T00000X
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.