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BOLDAGE PACE INDIANA LLC
NPI 1407543960
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Evansville, IN

Active since April 24, 2023
700 E WALNUT ST, EVANSVILLE, IN 47713(732) 806-3223(732) 806-3323 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Nov 12, 2024, Aug 19, 2024 and 1 more (4 updates tracked since 2024).

About Boldage Pace Indiana Llc NPPES

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

BOLDAGE PACE INDIANA LLC (NPI 1407543960), doing business as Heartland Pace, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Evansville, Indiana and active in the NPI registry since April 2023. The organization lists Micheal Y Czermak, Cao, as its authorized official.

NPPES Registry Identity

NPI1407543960
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameBOLDAGE PACE INDIANA LLC
Location Address700 E WALNUT STEvansville, IN 47713-2561
Mailing Address106 W Moore Ave, Suite AMooresville, NC 28115 · (732) 806-3223
Phone(732) 806-3223
Fax(732) 806-3323
Organization SubpartNo
Authorized OfficialMicheal Y CzermakCao · (732) 608-1975
Enumeration DateApril 24, 2023
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1407543960 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.
700 E WALNUT ST, Evansville, IN 47713
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Other Names 1

Doing Business AsHeartland Pace

Other Providers at the Same Location NPPES

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

SHIVANI WALKOSAK
Nurse Practitioner (Gerontology)
700 E WALNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 990-5800

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 Boldage Pace Indiana LLC's NPI number?

The NPI number for Boldage Pace Indiana LLC is 1407543960. It was assigned to this organization in the NPPES registry on April 24, 2023. The provider is doing business as Heartland PACE.

Where is Boldage Pace Indiana LLC located?

Boldage Pace Indiana LLC is located at 700 E Walnut St, Evansville, IN 47713. The listed phone number is (732) 806-3223.

What is Boldage Pace Indiana 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 Boldage Pace Indiana LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.