OrganizationActive
Ichs Pace
NPI 1669024527 · PACE Provider Organization · Seattle, WA
Provider details
- NPI number
- 1669024527
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- International Community Health Services
- Organization subpart
- Yes
- Authorized official
- Hermes Shahbazian, Cfo(206) 788-3618
Specialties & taxonomies
Agencies
- Meals Provider174200000X
Other Service Providers
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Practice location
803 S Lane St
Seattle, WA 98104-3044
Phone: (206) 788-3759
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3007
Seattle, WA 98114-3007
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.