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BEACON PACE ILLINOIS LLC
NPI 1073345641
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Calumet City, IL

Active since August 14, 2024
1700 167TH ST, CALUMET CITY, IL 60409(855) 801-2653 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2026, Nov 12, 2024, Aug 14, 2024 (3 updates tracked since 2024).

About Beacon Pace Illinois Llc NPPES

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

BEACON PACE ILLINOIS LLC (NPI 1073345641), doing business as Boldage Pace Illinois, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Calumet City, Illinois and active in the NPI registry since August 2024. The organization lists Micheal Y Czermak, Cao, as its authorized official.

NPPES Registry Identity

NPI1073345641
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameBEACON PACE ILLINOIS LLC
Location Address1700 167TH STCalumet City, IL 60409-5458
Mailing Address106 W Moore AveMooresville, NC 28115-3551 · (732) 806-3205
Phone(855) 801-2653
Organization SubpartNo
Authorized OfficialMicheal Y CzermakCao · (855) 801-2653
Enumeration DateAugust 14, 2024
Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1073345641 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.
1700 167TH ST, Calumet City, IL 60409
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Other Names 1

Doing Business AsBoldage Pace Illinois

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 Beacon Pace Illinois LLC's NPI number?

The NPI number for Beacon Pace Illinois LLC is 1073345641. It was assigned to this organization in the NPPES registry on August 14, 2024. The provider is doing business as BoldAge PACE Illinois.

Where is Beacon Pace Illinois LLC located?

Beacon Pace Illinois LLC is located at 1700 167th St, Calumet City, IL 60409. The listed phone number is (855) 801-2653.

What is Beacon Pace Illinois 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.

When was this NPI record last updated?

The NPPES record for Beacon Pace Illinois LLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.