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ABC HOME MEDICAL SUPPLY, INC. - Florida Company Profile

Company Details

Entity Name: ABC HOME MEDICAL SUPPLY, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 14 Jun 2012 (13 years ago)
Document Number: F12000002491
FEI/EIN Number 510443844

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1660 SW Saint Lucie West Blvd, Ste 200, PORT ST. LUCIE, FL, 34986, US
Mail Address: 1660 SW Saint Lucie West Blvd, PORT ST. LUCIE, FL, 34986, US
ZIP code: 34986
County: St. Lucie
Place of Formation: TEXAS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417217951 2012-05-17 2024-03-22 PO BOX 674553, DETROIT, MI, 482674553, US 1660 SW SAINT LUCIE WEST BLVD STE 200, PORT SAINT LUCIE, FL, 349861965, US

Contacts

Phone +1 772-232-7180
Fax 7722124904
Fax 7726075274

Authorized person

Name EMILY M VESTAL
Role PRESIDENT AND DIRECTOR
Phone 8668978588

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 114650200
State FL

Key Officers & Management

Name Role Address
Vestal Emily M President 1660 SW Saint Lucie West Blvd, Ste 200, PORT ST. LUCIE, FL, 34986
Noble Patrick C Chief Financial Officer 1660 SW Saint Lucie West Blvd, Ste 200, PORT ST. LUCIE, FL, 34986
Heroux Lise M Secretary 1660 SW Saint Lucie West Blvd, Ste 200, PORT ST. LUCIE, FL, 34986
Finnerty Timothy B Director 1660 SW Saint Lucie West Blvd, Ste 200, PORT ST. LUCIE, FL, 34986
NRAI SERVICES, INC. Agent -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-20 1660 SW Saint Lucie West Blvd, Ste 200, PORT ST. LUCIE, FL 34986 -
CHANGE OF MAILING ADDRESS 2024-02-20 1660 SW Saint Lucie West Blvd, Ste 200, PORT ST. LUCIE, FL 34986 -

Documents

Name Date
ANNUAL REPORT 2024-02-20
AMENDED ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-05-19
AMENDED ANNUAL REPORT 2019-11-19
AMENDED ANNUAL REPORT 2019-09-12
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-02-26

Date of last update: 01 Apr 2025

Sources: Florida Department of State