Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Coordinated Commonwealth Pace Inc

Organization Case Management Agency · NPI 1265293823

Life Coordinated Commonwealth Pace Inc is a Case Management Agency in Benton, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 E 11th St
Benton, KY 42025-1515
Phone: (866) 878-1121
Fax: (855) 868-3271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1265293823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Everitt — Ceo · (615) 376-4677
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 21, 2024
Mailing addressPo Box 2403, Brentwood, TN 37024-2403

Other providers in Benton