Provider Type Icon

INNOVAGE FLORIDA PACE LLC NPI 1316602899


NPI Information

NPI: 1316602899
Provider Name: INNOVAGE FLORIDA PACE, LLC
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 10D2244398

Address:
INNOVAGE FLORIDA PACE, LLC
4520 SEEDLING CIRCLE
TAMPA, FL
ZIP 33614
Phone: (844) 204-7867
Get Directions

INNOVAGE FLORIDA PACE, LLC is a program of all inclusive care for the elderly pace provider organization in Tampa, FL. The provider is 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. INNOVAGE FLORIDA PACE, LLC NPI is 1316602899. The provider is registered as an organization entity type.

The provider's business location address is:

INNOVAGE FLORIDA PACE, LLC
4520 SEEDLING CIRCLE
TAMPA, FL
ZIP 33614
Phone: (844) 204-7867

The provider's authorized official is Gayle M Washington .
The authorized official title is Credentialing and has the following contact phone number (303) 912-7193.

The CLIA number assigned to this NPI record is 10D2244398 - other - pace provider with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.