HILLSBOROUGH PACE LLC
NPI 1639036254
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in New Port Richey, FL

Active since January 06, 2026CLIA 10D2341773 · Waiver
9912 LITTLE RD, NEW PORT RICHEY, FL 34654(855) 801-2653 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hillsborough Pace Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HILLSBOROUGH PACE LLC (NPI 1639036254), doing business as Boldage Pace Tampa Bay Metro, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in New Port Richey, Florida and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Michael Czermak, Cao, as its authorized official.

NPPES Registry Identity

NPI1639036254
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameHILLSBOROUGH PACE LLC
Location Address9912 LITTLE RDNew Port Richey, FL 34654-3419
Mailing Address9912 Little RdNew Port Richey, FL 34654-3419 · (855) 801-2653
Organization SubpartNo
Authorized OfficialMichael CzermakCao · (855) 801-2653
Enumeration DateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
NPI 1639036254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
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.
9912 LITTLE RD, New Port Richey, FL 34654

Other Names 1

Doing Business AsBoldage Pace Tampa Bay Metro

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2341773

Hillsborough Pace LLC · New Port Richey, FL
Active · expires Apr 7, 2028
CLIA Number10D2341773
Laboratory TypePace Clinic
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorBrian Fornadel
Laboratory Phone(407) 402-6815
Laboratory LocationHillsborough Pace LLC9912 Little Road, New Port Richey, FL 34654
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9912 LITTLE RD
NEW PORT RICHEY, FL 34654
Nurse Practitioner (Primary Care)
9912 LITTLE RD
NEW PORT RICHEY, FL 34654
Physician Assistant
9912 LITTLE RD, VA-OPC-NPR / PCC3
NEW PORT RICHEY, FL 34654
Nurse Practitioner (Psychiatric/Mental Health)
9912 LITTLE RD
NEW PORT RICHEY, FL 34654
Dietitian, Registered
9912 LITTLE RD
NEW PORT RICHEY, FL 34654
Family Medicine (Adult Medicine)
9912 LITTLE RD
NEW PORT RICHEY, FL 34654
General Practice
9912 LITTLE RD
NEW PORT RICHEY, FL 34654
Physician Assistant (Medical)
9912 LITTLE RD
NEW PORT RICHEY, FL 34654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hillsborough Pace LLC's NPI number?

The NPI number for Hillsborough Pace LLC is 1639036254. It was assigned to this organization in the NPPES registry on January 6, 2026. The provider is doing business as BoldAge PACE Tampa Bay Metro.

Where is Hillsborough Pace LLC located?

Hillsborough Pace LLC is located at 9912 Little Rd, New Port Richey, FL 34654. The listed phone number is (855) 801-2653.

What is Hillsborough Pace LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Hillsborough Pace LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2341773) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hillsborough Pace LLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.