Innovage Kentucky Pace- Louisville, LLC
NPI 1720747413ActiveOrganization· PACE Provider Organization· Louisville, KY
PACE Provider Organization in Louisville, Kentucky, registered in NPPES in December 2021. The authorized official on file is Gayle Washington, Credentialing Director.
Overview
| NPI | 1720747413 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2021 |
| Last updated in NPPES | Dec 10, 2021 |
| Certified by provider | Dec 10, 2021 |
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 |
|---|
Other PACE Provider Organization providers in Louisville
- 1871209791
- 1962202226
- 1124856505
- 1265209571