OrganizationActive
Creating a Pathway to Everyday Living
NPI 1033918156 · PACE Provider Organization · Lucerne, CA
Provider details
- NPI number
- 1033918156
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Lorree Lewis Crandell, Executive Director / Ceo(510) 691-1633
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
Practice location
3700 Country Club Dr
Lucerne, CA 95458-8640
Phone: (510) 691-1633
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 986
Nice, CA 95464-0986
Additional practice locations (1)
- 3813 Lakeview DriveNice, CA 95464-0986Phone: (510) 691-1633
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.