| Entity Name: | INNOVAGE FLORIDA PACE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Oct 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Nov 2021 (3 years ago) |
| Document Number: | M20000009854 |
| FEI/EIN Number | 852956176 |
| 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 |
| 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 | |||||||||||||||
|
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| 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 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Robertson Cody | Auth | 1940 W. Allegheny Ave,, Philadelphia, PA, 19132 |
| Name | Role | Address |
|---|---|---|
| TCO Eastern Holdings, LLC | Member | 8410 S Orange Blossom Trl., Orlando, FL, 32809 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-02 | 4520 Seedling Circle, Tampa, FL 33614 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-08 | 4520 Seedling Circle, Tampa, FL 33614 | No data |
| REINSTATEMENT | 2021-11-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-18 | CORPORATION SERVICE COMPANY | No data |
| REVOKED FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-08 |
| REINSTATEMENT | 2021-11-18 |
| Foreign Limited | 2020-10-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
