PACE PLACE AND THE PACE PLACE
NPI 1851950620
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Jacksonville, FL

Q: What is Pace Partners Of Northeast Florida, 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.

Active since June 06, 2019CLIA 10D2172121 · Waiver

5450 RAMONA BLVD, JACKSONVILLE, FL 32205(904) 407-6207(904) 407-8199 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Jun 6, 2019 (2 updates tracked since 2019).

On this page

About Pace Place And The Pace Place NPPES

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

PACE PLACE AND THE PACE PLACE (NPI 1851950620) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Jacksonville, Florida and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Susan Ponder-stansel, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1851950620

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NamePACE PARTNERS OF NORTHEAST FLORIDA, INC.

Location Address5450 RAMONA BLVDJacksonville, FL 32205-4750

Mailing Address5450 Ramona BlvdJacksonville, FL 32205-4750 · (904) 407-5050 · Fax (904) 407-8123

Phone(904) 407-6207

Fax(904) 407-8199

Organization SubpartNo

Authorized OfficialSusan Ponder-stanselAuthorized Official · (904) 268-5200

Enumeration DateJune 6, 2019

Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration

✔ NPI 1851950620 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.

5450 RAMONA BLVD, Jacksonville, FL 32205

Open in Google Maps ↗

Other Names 1

Doing Business AsPace Place And The Pace Place

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 10D2172121

Pace Partners Of Northeast Florida Inc · Jacksonville, FL

Active · expires Sep 15, 2027

CLIA Number10D2172121

Laboratory TypeAdult Day Care

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorTaylor Dahl

Laboratory Phone(904) 428-0400

Laboratory LocationPace Partners Of Northeast Florida Inc5450 Ramona Blvd Bldg 200, Jacksonville, FL 32205

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 7

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

ALIVIA CARE SOLUTIONS, INC.

Home Health