| Entity Name: | LIFEPATH HOSPICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 19 Jul 2006 (19 years ago) |
| Last Event: | RESTATED ARTICLES |
| Event Date Filed: | 17 Dec 2012 (12 years ago) |
| Document Number: | N06000007648 |
| FEI/EIN Number | 205276870 |
| Mail Address: | 12470 Telecom Drive, Attn: Legal, Temple Terrace, FL, 33637, US |
| Address: | 12470 Telecom Drive, Ste 400, Temple Terrace, FL, 33637, US |
| ZIP code: | 33637 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124171350 | 2007-01-19 | 2020-08-24 | 12470 TELECOM DR STE 300W, ATTENTION: COMPLIANCE, TEMPLE TERRACE, FL, 336370904, US | 4200 W CYPRESS ST STE 690, TAMPA, FL, 336074112, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 813-871-8400 |
| Fax | 8138718402 |
| Phone | +1 813-877-2200 |
| Fax | 8133835041 |
Authorized person
| Name | SHARON PAMELA SAUCIER |
| Role | CHIEF COMPLIANCE & CLINICAL OFFICER |
| Phone | 8138718031 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 5018095 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 150022800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Molosky Andrew K | Agent | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| Molosky Andrew K | Director | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Goddard Valerie H | Director | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Webb Todd A | Director | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Reardon Mary K | Director | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| Davis Cyndi | Non | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| Zolman Valerie | Ex | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| Zolman Valerie | Officer | 12470 Telecom Drive, Temple Terrace, FL, 33637 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000063516 | MELECH HOSPICE HOUSE | ACTIVE | 2014-06-20 | 2029-12-31 | No data | CHAPTERS HEALTH SYSTEM - LEGAL DEPT., 12470 TELECOM DR., STE. 300, TEMPLE TERRACE, FL, 33637 |
| G14000063521 | SUN CITY CENTER HOSPICE HOUSE | ACTIVE | 2014-06-20 | 2029-12-31 | No data | CHAPTERS HEALTH SYSTEM - LEGAL DEPT., 12470 TELECOM DR., STE. 300W, TEMPLE TERRACE, FL, 33637 |
| G11000097211 | THE CIRCLE OF LOVE CENTER | ACTIVE | 2011-10-02 | 2026-12-31 | No data | 12470 TELECOM DRIVE, SUITE #301, TEMPLE TERRACE, FL, 33637 |
| G11000097212 | THE MENDING TREE | ACTIVE | 2011-10-02 | 2026-12-31 | No data | 12470 TELECOM DRIVE, SUITE #301, TEMPLE TERRACE, FL, 33637 |
| G07302900488 | HOSPICEHELP24 | ACTIVE | 2007-10-29 | 2027-12-31 | No data | CHAPTERS HEALTH SYSTEM, INC., 12470 TELECOM DR STE 301, TEMPLE TERRACE, FL, 33637 |
| G07302900478 | LIFEPATH HOSPICE | ACTIVE | 2007-10-29 | 2027-12-31 | No data | C/O CHAPTERS HEALTH SYSTEM, INC., 12470 TELECOM DR STE 301, TEMPLE TERRACE, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-28 | 12470 Telecom Drive, Ste 400, Temple Terrace, FL 33637 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-07 | 12470 Telecom Drive, Attn: Legal, Suite 301, Temple Terrace, FL 33637 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-22 | 12470 Telecom Drive, Ste 400, Temple Terrace, FL 33637 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-23 | Molosky, Andrew K. | No data |
| RESTATED ARTICLES | 2012-12-17 | No data | No data |
| AMENDMENT | 2011-01-24 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12001014086 | TERMINATED | 1000000427568 | HILLSBOROU | 2012-12-10 | 2022-12-14 | $ 765.61 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| AMENDED ANNUAL REPORT | 2023-10-19 |
| AMENDED ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2023-04-07 |
| AMENDED ANNUAL REPORT | 2022-08-03 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-16 |
| AMENDED ANNUAL REPORT | 2019-09-27 |
| ANNUAL REPORT | 2019-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
