BOLDAGE PACE KENTUCKY LLC
NPI 1447941802
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Owensboro, KY

Active since May 17, 2023
2050 E PARRISH AVE, OWENSBORO, KY 42303(732) 806-3205 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Aug 14, 2024, May 17, 2023 (3 updates tracked since 2023).

About Boldage Pace Kentucky Llc NPPES

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

BOLDAGE PACE KENTUCKY LLC (NPI 1447941802) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Owensboro, Kentucky and active in the NPI registry since May 2023. The organization lists Micheal Y Czermak, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1447941802
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameBOLDAGE PACE KENTUCKY LLC
Location Address2050 E PARRISH AVEOwensboro, KY 42303-1448
Mailing Address112 Exmore Road, Suite 3Mooresville, NC 28117
Organization SubpartYesParent: Boldage Pace, Llc
Authorized OfficialMicheal Y CzermakChief Administrative Officer · (855) 801-2653
Enumeration DateMay 17, 2023
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1447941802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2050 E PARRISH AVE, Owensboro, KY 42303

Other Names 1

Other NameBoldage Pace

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 Kentucky LLC's NPI number?

The NPI number for Boldage Pace Kentucky LLC is 1447941802. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is also known as BoldAge PACE.

Where is Boldage Pace Kentucky LLC located?

Boldage Pace Kentucky LLC is located at 2050 E Parrish Ave, Owensboro, KY 42303. The listed phone number is (732) 806-3205.

What is Boldage Pace Kentucky 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 Kentucky LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.