Boldage Pace Kentucky LLC
NPI 1447941802ActiveOrganization· PACE Provider Organization· Owensboro, KY
PACE Provider Organization in Owensboro, Kentucky, registered in NPPES in May 2023, part of Boldage Pace, LLC. The authorized official on file is Micheal Y. Czermak, Chief Administrative Officer.
Overview
| NPI | 1447941802 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Boldage Pace, LLC |
| NPI issued | May 17, 2023 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|