| Entity Name: | CORAM ALTERNATE SITE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 30 Mar 1995 (30 years ago) |
| Document Number: | F95000001539 |
| FEI/EIN Number | 76-0215922 |
| Address: | One CVS Drive, Woonsocket, RI, 02895, US |
| Mail Address: | One CVS Drive, Woonsocket, RI, 02895, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780004564 | 2014-04-21 | 2022-10-21 | 555 17TH ST, SUITE 1500, DENVER, CO, 802023950, US | 13813 METRO PKWY, FORT MYERS, FL, 339124343, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 303-672-8631 |
| Fax | 3032980047 |
| Phone | +1 813-639-4500 |
Authorized person
| Name | TRICIA L LACAVICH |
| Role | PRESIDENT |
| Phone | 3184071785 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Moffatt Thomas S | Vice President | One CVS Drive, Woonsocket, RI, 02895 |
| Name | Role | Address |
|---|---|---|
| St Angelo Melanie K | Assi | One CVS Drive, Woonsocket, RI, 02895 |
| Beaulieu Sheelagh M | Assi | One CVS Drive, Woonsocket, RI, 02895 |
| DeSousa Kimberley M | Assi | One CVS Drive, Woonsocket, RI, 02895 |
| Cole Joshua S | Assi | One CVS Drive, Woonsocket, RI, 02895 |
| Name | Role | Address |
|---|---|---|
| Moffatt Thomas S | Director | One CVS Drive, Woonsocket, RI, 02895 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000097295 | CORAM CVS/SPECIALTY INFUSION SERVICES #48097 | ACTIVE | 2023-08-21 | 2028-12-31 | No data | 4408 DELWOOD LANE, STE 3, PANAMA CITY BEACH, FL, 32408 |
| G21000105937 | CORAM CVS/SPECIALTY INFUSION SERVICES | ACTIVE | 2021-08-16 | 2026-12-31 | No data | 3439 N 12TH AVE, SUITE A & B, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-02 | One CVS Drive, Woonsocket, RI 02895 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-02 | One CVS Drive, Woonsocket, RI 02895 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-12-28 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-12-28 | C/O C T CORPORATION SYSTEM, 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| AMENDED ANNUAL REPORT | 2023-08-25 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| Reg. Agent Change | 2017-12-28 |
| ANNUAL REPORT | 2017-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
