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Boldage Pace Kentucky LLC — NPI 1447941802, Owensboro, KY | NPI Central

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Boldage Pace Kentucky LLC

NPI 1447941802 · PACE Provider Organization · Owensboro, KY

Provider details

NPI number: 1447941802
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Parent organization: Boldage Pace, LLC
Organization subpart: Yes
Authorized official: Micheal Czermak, Chief Administrative Officer(855) 801-2653

Specialties & taxonomies

PACE Provider OrganizationPrimary251T00000X
Agencies

Practice location

2050 E Parrish Ave

Owensboro, KY 42303-1448

Phone: (732) 806-3205

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

112 Exmore Road

Mooresville, NC 28117

Other names (DBA / former)

Other name: Boldage Pace

Registry dates

Enumerated: 2023-05-17
Last updated: 2026-05-28
Certified: 2026-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.