1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Program Of All Inclusive Care For The Elderly Pace Provider Organization
  6. NPI Profile

INNOVAGE GREATER CALIFORNIA PACE
NPI 1023457595
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Bernardino, CA

Active since June 18, 2013CLIA Certified · 5 labs
410 E PARKCENTER CIR N, SAN BERNARDINO, CA 92408(909) 488-4258 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovage Greater California Pace NPPES

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

INNOVAGE GREATER CALIFORNIA PACE (NPI 1023457595) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in San Bernardino, California and active in the NPI registry since June 2013. The organization holds 5 active CLIA laboratory certificates and lists Gayle Washington, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1023457595
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameTOTAL LONGTERM CARE, INC
Location Address410 E PARKCENTER CIR NSan Bernardino, CA 92408-2869
Mailing Address8950 E Lowry BlvdDenver, CO 80230-7030 · (303) 869-4664
Phone(909) 488-4258
Organization SubpartNo
Authorized OfficialGayle WashingtonCredentialing Director · (039) 127-1933
Enumeration DateJune 18, 2013
Last NPPES UpdateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1023457595 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.
410 E PARKCENTER CIR N, San Bernardino, CA 92408
Open in Google Maps ↗

Other Names 1

Doing Business AsInnovage Greater California Pace

Other Identifiers 1

OtherH6079CA · Medicare Contract Number

CLIA Laboratory Certificates CMS CLIA 5

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 06D2178984

Total Longterm Care, Inc Dba - Innovage Colorado Pace · Pueblo, CO
Active · expires Feb 11, 2028
CLIA Number06D2178984
Laboratory TypePace Organization
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Marg G. Learned
Laboratory Phone(303) 869-4664
Laboratory LocationTotal Longterm Care, Inc Dba - Innovage Colorado Pace401 W Northern Ave, Pueblo, CO 81004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2178985

Total Longterm Care, Inc Dba - Innovage Colorado Pace · Aurora, CO
Active · expires Feb 11, 2028
CLIA Number06D2178985
Laboratory TypePace Organizaton
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Mark G. Learned
Laboratory Phone(303) 869-4664
Laboratory LocationTotal Longterm Care, Inc Dba - Innovage Colorado Pace3551 N Chambers Rd, Aurora, CO 80011
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2178987

Total Longterm Care, Inc Dba - Innovage Colorado Pace · Lakewood, CO
Active · expires Feb 11, 2028
CLIA Number06D2178987
Laboratory TypePace Organization
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Mark G. Learned
Laboratory Phone(303) 869-4664
Laboratory LocationTotal Longterm Care, Inc Dba - Innovage Colorado Pace8405 W Alameda Ave, Lakewood, CO 80226
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D0704938

Total Longterm Care, Inc Dba - Innovage Colorado Pace · Denver, CO
Active · expires Oct 13, 2027
CLIA Number06D0704938
Laboratory TypePace Organization
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorDr. Mark G. Learned
Laboratory Phone(303) 869-4664
Laboratory LocationTotal Longterm Care, Inc Dba - Innovage Colorado Pace1265 South Broadway, Denver, CO 80203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2067736

Total Longterm Care, Inc · San Bernardino, CA
Active · expires Oct 21, 2027
CLIA Number05D2067736
Laboratory TypePace-Organization
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorSeema Siraj
Laboratory Phone(909) 890-2802
Laboratory LocationTotal Longterm Care, Inc410 E Parkcenter Circle North, San Bernardino, CA 92408
CLIA data matches this NPI record on: 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.

NANCY ELIZABETH MAURER
Occupational Therapist
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-2800
STEMBILE MADAKIWE
Registered Nurse (General Practice)
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (949) 572-4873
CLERISSE ANN EWELIKE NP-C
Nurse Practitioner (Family)
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-2880
MARICELLE RANOLA RDN, MPH
Dietitian, Registered
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 366-4230
HARVEY ABONALES PT
Physical Therapist
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 314-3367
DR. JOHN FRANKLIN RANDOLPH M.D.
Family Medicine (Geriatric Medicine)
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 501-9932
MARLA FAYE DOWNS
Occupational Therapist
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 677-7860
MR. MATTHEW O RICHARDS OT
Occupational Therapist
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 366-4230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Total Longterm Care, Inc's NPI number?

The NPI number for Total Longterm Care, Inc is 1023457595. It was assigned to this organization in the NPPES registry on June 18, 2013. The provider is doing business as Innovage Greater California Pace.

Where is Total Longterm Care, Inc located?

Total Longterm Care, Inc is located at 410 E Parkcenter Cir N, San Bernardino, CA 92408. The listed phone number is (909) 488-4258.

What is Total Longterm Care, Inc'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.

Does Total Longterm Care, Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Total Longterm Care, Inc was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.