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INNOVAGE FLORIDA PACE, LLC - Florida Company Profile

Company Details

Entity Name: INNOVAGE FLORIDA PACE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 29 Oct 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Nov 2021 (3 years ago)
Document Number: M20000009854
FEI/EIN Number 852956176

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4520 Seedling Circle, Tampa, FL, 33614, US
Mail Address: 4520 Seedling Circle, Tampa, FL, 33614, US
ZIP code: 33614
County: Hillsborough
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316602899 2021-11-01 2021-11-01 8950 E LOWRY BLVD, DENVER, CO, 802307030, US INNOVAGE FLORIDA PACE, LLC, 4520 SEEDLING CIRCLE, TAMPA, FL, 33614, US

Contacts

Phone +1 303-912-7193
Phone +1 844-204-7867

Authorized person

Name GAYLE M WASHINGTON
Role CREDENTIALING
Phone 3039127193

Taxonomy

Taxonomy Code 251T00000X - PACE Provider Organization
Is Primary Yes

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY Agent -
TCO Eastern Holdings, LLC Member 8410 S Orange Blossom Trl., Orlando, FL, 32809
Robertson Cody Auth 1940 W. Allegheny Ave,, Philadelphia, PA, 19132

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-02-02 4520 Seedling Circle, Tampa, FL 33614 -
CHANGE OF PRINCIPAL ADDRESS 2022-02-08 4520 Seedling Circle, Tampa, FL 33614 -
REINSTATEMENT 2021-11-18 - -
REGISTERED AGENT NAME CHANGED 2021-11-18 CORPORATION SERVICE COMPANY -
REVOKED FOR ANNUAL REPORT 2021-09-24 - -

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-08
REINSTATEMENT 2021-11-18
Foreign Limited 2020-10-29

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
4039682 Intrastate Non-Hazmat 2024-05-09 500 2023 10 10 Priv. Pass.(Non-business)
Legal Name INNOVAGE FLORIDA PACE LLC
DBA Name -
Physical Address 4520 SEEDLING CIR, TAMPA, FL, 33614-2400, US
Mailing Address 4520 SEEDLING CIR, TAMPA, FL, 33614-2400, US
Phone (720) 534-7972
Fax -
E-mail SGARDNER1@MYINNOVAGE.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Safety Measurement System - Passenger Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance Percentile Less than 5 driver inspections
Vehicle Maintenance BASIC Acute/Critical Indicator No
Vehicle Maintenance BASIC Roadside Performance Percentile Less than 5 vehicle inspections
Controlled Substances and Alcohol BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Controlled Substances and Alcohol BASIC Roadside Performance Percentile 0%
Unsafe Driving BASIC Roadside Performance Percentile 0%
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Driver Fitness BASIC Roadside Performance Over Threshold Indicator No
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Vehicle Maintenance BASIC Roadside Performance Over Threshold Indicator No
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Controlled Substances and Alcohol BASIC Roadside Performance Over Threshold Indicator No
Driver Fitness BASIC Indicator No
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Unsafe Driving BASIC Roadside Performance Over Threshold Indicator No
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Vehicle Maintenance BASIC Indicator No
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Controlled Substances and Alcohol BASIC Indicator No
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Unsafe Driving Overall BASIC Indicator No
Number of inspections with at least one Unsafe Driving BASIC violation 0

Date of last update: 02 Apr 2025

Sources: Florida Department of State