PACE OF NORTHEAST INDIANA
NPI 1003466202
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Fort Wayne, IN

Q: What is Pace Of Northeast Indiana's NPI number?

The NPI number for Pace Of Northeast Indiana is 1003466202. It was assigned to this organization in the NPPES registry on September 19, 2019.

Q: What is Pace Of Northeast Indiana's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Active since September 19, 2019CLIA 15D2193128 · Waiver

2927 LAKE AVE, FORT WAYNE, IN 46805(260) 745-1200 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pace Of Northeast Indiana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACE OF NORTHEAST INDIANA (NPI 1003466202) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Fort Wayne, Indiana and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Aaron L Shapiro, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003466202

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NamePACE OF NORTHEAST INDIANA

Location Address2927 LAKE AVEFort Wayne, IN 46805-5415

Mailing Address8101 W Jefferson BlvdFort Wayne, IN 46804-4163 · (260) 745-1200 · Fax (260) 745-5968

Phone(260) 745-1200

Organization SubpartNo

Authorized OfficialAaron L ShapiroCfo · (260) 745-1200

Enumeration DateSeptember 19, 2019

✔ NPI 1003466202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies

Taxonomy Code251T00000X

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.

2927 LAKE AVE, Fort Wayne, IN 46805

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2193128

Pace Of Northeast Indiana · Fort Wayne, IN

Active · expires Sep 16, 2026

CLIA Number15D2193128

Laboratory Type50% Aging In Home & 50% P

Certificate Effective DateSeptember 17, 2024

Certificate Expiration DateSeptember 16, 2026

Laboratory DirectorDr. Dona Uncheselu

Laboratory Phone(260) 469-4148

Laboratory LocationPace Of Northeast Indiana2927 Lake Avenue, Fort Wayne, IN 46805

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA M SOBIECK NP

Nurse Practitioner