1. Home
  2. Directory
  3. Iowa
  4. Council Bluffs
  5. Program Of All Inclusive Care For The Elderly Pace Provider Organization
  6. NPI Profile

IMMANUEL PATHWAYS
NPI 1811207889
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Council Bluffs, IA

Active since October 08, 2010CLIA 28D2045665 · Waiver
1702 N 16TH ST, COUNCIL BLUFFS, IA 51501(712) 256-7284 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Immanuel Pathways NPPES

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

IMMANUEL PATHWAYS (NPI 1811207889) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Council Bluffs, Iowa and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Andrew J Fisher, Vp Of Community Operations, as its authorized official.

NPPES Registry Identity

NPI1811207889
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NamePACE IOWA
Location Address1702 N 16TH STCouncil Bluffs, IA 51501-0121
Mailing Address6757 Newport Ave, Suite 200Omaha, NE 68152-2262 · (402) 829-2900 · Fax (402) 829-2939
Phone(712) 256-7284
Organization SubpartYesParent: Immanuel Home And Community Resources
Authorized OfficialAndrew J FisherVp Of Community Operations · (402) 829-2954
Enumeration DateOctober 8, 2010
Last NPPES UpdateOctober 17, 2013
✔ NPI 1811207889 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.
1702 N 16TH ST, Council Bluffs, IA 51501
Open in Google Maps ↗

Other Names 1

Doing Business AsImmanuel Pathways

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 28D2045665

Immanuel Pathways · Omaha, NE
Active · expires Aug 16, 2026
CLIA Number28D2045665
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorJennifer J. Vacek
Laboratory Phone(402) 991-0330
Laboratory LocationImmanuel Pathways5755 Sorenson Parkway, Omaha, NE 68152
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. ERICA K. CICHOWSKI M.D.
Internal Medicine
1702 N 16TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 256-7223
ELIZABETH BLANKE
Nurse Practitioner (Gerontology)
1702 N 16TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 256-7223
ANGELA LEIGH PARKER ARNP
Nurse Practitioner
1702 N 16TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 256-7437
AMBER LONG OTR/L
Occupational Therapist
1702 N 16TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 256-7485
KAHLA NOELLE ANDERSON DNP, FNP, ARNP
Nurse Practitioner (Family)
1702 N 16TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 227-4441

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 Iowa's NPI number?

The NPI number for Pace Iowa is 1811207889. It was assigned to this organization in the NPPES registry on October 8, 2010. The provider is doing business as Immanuel Pathways.

Where is Pace Iowa located?

Pace Iowa is located at 1702 N 16th St, Council Bluffs, IA 51501. The listed phone number is (712) 256-7284.

What is Pace Iowa'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 Iowa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2045665) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pace Iowa was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.