NPIMap

Organization Active NPI

Suncoast Pace, Inc.

  • PACE Provider Organization
  • Pinellas Park, FL
National Provider Identifier
1578839890
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
SUNCOAST PACE, INC.
Practice address
6774 102ND Ave N
Pinellas Park, FL 33782-2909
Phone
(727) 289-0062
NPI assigned
Mar 30, 2012
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Saida Bouhamid
Title
Cfo
Phone
(727) 523-3339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU
PACE Provider Organization 251T00000X NU Primary

Addresses

Primary practice location

6774 102ND Ave N
Pinellas Park, FL 33782-2909

Mailing address

6774 102ND Ave N
Pinellas Park, FL 33782-2909
Phone (727) 586-4432

Other practice location 1

5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Phone (727) 586-4432

Other identifiers 1

IdentifierTypeStateIssuer
005577500MedicaidFL

Other names 1

  • SUNCOAST NEIGHBORLY CARE, INC. Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2054852Suncoast Pace6774 102ND Ave N, Pinellas Park, FL 33782Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Empath Adult Day Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6774 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 289-0062

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1578839890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6774 102ND AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822909",
            "telephone_number": "727-586-4432",
            "fax_number": "727-523-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6774 102ND AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822909",
            "telephone_number": "727-289-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5771 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337603407",
            "country_code": "US",
            "telephone_number": "727-586-4432",
            "fax_number": "727-523-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCOAST PACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "BOUHAMID",
        "authorized_official_first_name": "SAIDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-523-3339"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005577500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNCOAST NEIGHBORLY CARE, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.