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PACE OF SOUTHWEST MICHIGAN INC
NPI 1568709392
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Saint Joseph, MI

Active since January 14, 2013CLIA 23D2034533 · Waiver
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085(269) 408-4322(269) 408-4340 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pace Of Southwest Michigan Inc NPPES

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

PACE OF SOUTHWEST MICHIGAN INC (NPI 1568709392) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Saint Joseph, Michigan and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Therese Saggau, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1568709392
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NamePACE OF SOUTHWEST MICHIGAN INC
Location Address2900 LAKEVIEW AVESaint Joseph, MI 49085-2379
Mailing Address2900 Lakeview AveSaint Joseph, MI 49085-2379 · (269) 408-4322 · Fax (269) 408-4340
Phone(269) 408-4322
Fax(269) 408-4340
Organization SubpartNo
Authorized OfficialTherese SaggauExecutive Director · (269) 408-4322
Enumeration DateJanuary 14, 2013
Last NPPES UpdateMay 14, 2013
✔ NPI 1568709392 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.
2900 LAKEVIEW AVE, Saint Joseph, MI 49085
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Other Identifiers 2

Medicaid2331543MI
Other2332863MI · Medicaid Billing Agent Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 23D2034533

Pace Of Southwest Michigan · Saint Joseph, MI
Active · expires Dec 27, 2027
CLIA Number23D2034533
Laboratory TypePace Clinic
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorJennifer White
Laboratory Phone(269) 982-7767
Laboratory LocationPace Of Southwest Michigan2900 Lakeview Avenue, Saint Joseph, MI 49085
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

REGION IV AREA AGENCY ON AGING, INC
Case Management
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-0177
TENNILLE SLAVENS
Case Manager/Care Coordinator
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 932-7860
JENNIFER SCALLY
Case Manager/Care Coordinator
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 982-7732
MRS. CAROLE ANNE DERUCKI FNP-BC
Nurse Practitioner (Family)
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 932-7859
SHANNON KRAMER RD
Dietitian, Registered
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (229) 408-4322
REGION IV AREA AGENCY ON AGING, INC
Nurse Practitioner (Gerontology)
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-0177
DANA LYNNE WILLIS
Social Worker
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 408-4322
REGION IV AREA AGENCY ON AGING, INC
Case Management
2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-0177

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 Pace Of Southwest Michigan Inc's NPI number?

The NPI number for Pace Of Southwest Michigan Inc is 1568709392. It was assigned to this organization in the NPPES registry on January 14, 2013.

Where is Pace Of Southwest Michigan Inc located?

Pace Of Southwest Michigan Inc is located at 2900 Lakeview Ave, Saint Joseph, MI 49085. The listed phone number is (269) 408-4322.

What is Pace Of Southwest Michigan Inc'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 Pace Of Southwest Michigan Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2034533) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pace Of Southwest Michigan Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Pace Of Southwest Michigan Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pace Of Southwest Michigan Inc was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.