| Entity Name: | EMPATH LIFE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Mar 2020 (5 years ago) |
| Last Event: | LC AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 23 Sep 2024 (4 months ago) |
| Document Number: | L20000090666 |
| FEI/EIN Number | 85-0546031 |
| Address: | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| Mail Address: | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780389601 | 2023-03-31 | 2023-04-05 | 5771 ROOSEVELT BLVD, CLEARWATER, FL, 337603407, US | 5414 BEAUMONT CENTER BLVD, TAMPA, FL, 336345266, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 727-586-4432 |
Authorized person
| Name | JONATHAN FLEECE |
| Role | PRESIDENT/CEO |
| Phone | 9415527500 |
Taxonomy
| Taxonomy Code | 251T00000X - PACE Provider Organization |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HENDRICKS, CHRISTY | Agent | 6310 CAPITAL DRIVE, SUITE 110, LAKEWOOD RANCH, FL 34202 |
| Name | Role |
|---|---|
| EMPATH HEALTH, INC. | Manager |
| Name | Role | Address |
|---|---|---|
| FLEECE, JONATHAN D | Chief Executive Officer | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| FLEECE, JONATHAN D | PRESIDENT | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| BOUHAMID, SAIDA | Chief Financial Officer | 6310 CAPITAL DDRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| HENDRICKS, CHRISTY | Chief Learning Officer | 6310 CAPITAL DRIVE, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| WOODWORTH, JUDY | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| HAYES, BEN | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| OLDANIE, BETTY | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| WHETSTONE, CHAD | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| WHITED-POPE, JENNIFER | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| NERO, CARRIE, PHD | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| HANLEY-CRAB, KELLI | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| KYES, FORD | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| MCLEOD, ERIN | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| WALTERS, SUSIE | Director | 5771 ROOSEVELT BOULEVARD, CLEARWATER, FL 33760 |
| Name | Role |
|---|---|
| SUNCOAST PACE, INC. | MEMBER |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDED AND RESTATED ARTICLES | 2024-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 6310 CAPITAL DRIVE, SUITE 110, LAKEWOOD RANCH, FL 34202 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | HENDRICKS, CHRISTY | No data |
| Name | Date |
|---|---|
| LC Amended and Restated Art | 2024-09-23 |
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-03-25 |
| Florida Limited Liability | 2020-03-26 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
