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NPI 1649558131 · PACE Provider Organization · Minneapolis, MN
Provider details
- NPI number
- 1649558131
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Raj Chaudhary, Executive Director(763) 234-8301
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3702 E Lake St
Minneapolis, MN 55406-2156
Phone: (763) 234-8301
Street-level locationGet directions
Mailing address
3702 E Lake St
Minneapolis, MN 55406-2156
Registry dates
- Enumerated
- 2011-08-01
- Last updated
- 2011-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.