Innovage Florida Pace, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

INNOVAGE FLORIDA PACE, LLC

Doing business as

InnovAge Greater Colorado PACE

Practice address

Innovage Florida Pace, LLC
4520 Seedling Circle
Tampa, FL 33614

Phone

(844) 204-7867

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gayle M Washington

Title

Credentialing

Phone

(303) 912-7193

Specialties & licenses 1

Addresses

Other names 1

• InnovAge Greater Colorado PACE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1316602899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307030",
            "telephone_number": "303-912-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INNOVAGE FLORIDA PACE, LLC",
            "address_2": "4520 SEEDLING CIRCLE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "844-204-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVAGE FLORIDA PACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "303-912-7193"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnovAge Greater Colorado PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inner Quiet
• Eleanor Innocent, DPT
• David Innocenti, MSW
• Miriam Innocenti, LCSW
• Innovacare, LLC (Innovacare)
• Innovative ABA Solutions LLC
• Innovative Healthcare of Florida, Inc.
• Innovision Practice Group PA (InnoVision)
• Innovision Practice Group PA (InnoVision)
• Inpatient Consultants of Florida Inc

• PACE Provider Organization in Tampa, FL
• Providers in Tampa, FL by specialty
• PACE Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.