KINSHIP PACE OF INDIANA LLC
NPI 1538983622
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Kokomo, IN

NPI Status: Active since November 14, 2024

Contact Information

3734 S REED RD
KOKOMO, IN
ZIP 46902
Phone: (570) 371-7371

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  • Organization
  • Program of All-Inclusive Care for the El...
  • CLIA Number: 15D2299858
  • CLIA Cert. Type: Other - PACE CENTER
  • CLIA Exp. Date: 02-28-2028

About KINSHIP PACE OF INDIANA LLC

This page provides the complete NPI Profile along with additional information for Kinship Pace Of Indiana Llc, a provider established in Kokomo, Indiana operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1538983622 assigned on November 2024. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Judy Kohn (Interim Ceo, Chief Strategy Officer)

NPI
1538983622
Provider Legal Name
KINSHIP PACE OF INDIANA LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3734 S REED RD KOKOMO, IN 46902
Location Phone
(570) 371-7371
Mailing Address
885 3RD AVE FL 29 NEW YORK, NY 10022
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-14-2024
Last Update Date
02-10-2025
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Location Map

Secondary Locations

  • 1453 E 10th St
    Jeffersonville, IN 47130
    (570) 371-7371

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUDY KOHN

Authorized Official Title
INTERIM CEO, CHIEF STRATEGY OFFICER
Authorized Official Phone
(917) 270-0599

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2299858
Facility Type
Other - PACE CENTER
Certificate Effective Date
February 28, 2026
Certificate Expiration Date
February 28, 2028
Laboratory Director
ARIF NAZIR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kinship Pace Of Indiana Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538983622, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 1 + 8 + 8 + 6 + 6 + 4 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1538983622.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538983622, enumerated as an "organization" on November 14, 2024.

The provider is located at 3734 S REED RD KOKOMO, IN 46902 and the phone number is (570) 371-7371.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.