WEST BALTIMORE PACE COMMUNITY COALITION, LLC
NPI 1023870284
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Baltimore, MD
About West Baltimore Pace Community Coalition, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST BALTIMORE PACE COMMUNITY COALITION, LLC (NPI 1023870284), doing business as Edenbridge Pace Of West Baltimore, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Baltimore, Maryland and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists John Billingsley, Chief Administration Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
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 21D2297103
West Baltimore Pace Community Coalition · Baltimore, MDFrequently 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 West Baltimore Pace Community Coalition, LLC's NPI number?
The NPI number for West Baltimore Pace Community Coalition, LLC is 1023870284. It was assigned to this organization in the NPPES registry on January 24, 2024. The provider is doing business as Edenbridge PACE of West Baltimore.
Where is West Baltimore Pace Community Coalition, LLC located?
West Baltimore Pace Community Coalition, LLC is located at 3201A Tioga Pkwy Ste A, Baltimore, MD 21215. The listed phone number is (443) 961-0796.
What is West Baltimore Pace Community Coalition, LLC'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 West Baltimore Pace Community Coalition, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2297103) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for West Baltimore Pace Community Coalition, LLC was last updated on January 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
