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NPISignal

Individual Healthcare Provider

Ileha M Clark

NPI Record: ActiveProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
NPI1619531936
Macon, Georgia

Provider's NPPES record last updated: May 3, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1619531936
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Practice Location
Macon, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 5:52 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

    Agencies

    Primary

    A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

    Taxonomy code 251T00000X
  • Chore Provider

    Nursing Service Related Providers

    An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

    Taxonomy code 372500000X

Practice Locations

Practice Location

152 New St Ste 103m

Macon, Georgia 31201-7304

Phone: (478) 508-7124

Record Information

Enumeration Date
April 23, 2019
Provider's NPPES Record Last Updated
May 3, 2019
NPISignal NPPES Dataset
August 2026

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