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NPI 1871213579ActiveOrganization· PACE Provider Organization· Washington, DC

PACE Provider Organization in Washington, District of Columbia, registered in NPPES in September 2022. The authorized official on file is Jackie Carpenter, Ceo.

Overview

NPI1871213579
StatusActive
Entity typeOrganization
NPI issuedSep 1, 2022
Last updated in NPPESSep 1, 2022
Certified by providerSep 1, 2022

Specialties and licenses

TaxonomyCodeLicenseState
PACE Provider Organization Primary251T00000X——
Personal Emergency Response Attendant146D00000X——
Emergency Medical Technician, Basic146N00000X——
Family Medicine207Q00000X——
Case Management251B00000X——
Community/Behavioral Health251S00000X——
In Home Supportive Care253Z00000X——
Clinic/Center261Q00000X——
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children3245S0500X——
Student in an Organized Health Care Education/Training Program390200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other PACE Provider Organization providers in Washington

All PACE Provider Organization providers in District of Columbia →