| Entity Name: | ATKINSON'S HOME HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 May 1986 (39 years ago) |
| Document Number: | J17020 |
| FEI/EIN Number | 592686271 |
| Address: | 4110 SOUTHPOINT BLVD STE 110, JACKSONVILLE, FL, 32216 |
| Mail Address: | 4110 Southpoint Blvd., Jacksonville, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427276153 | 2007-04-20 | 2015-06-09 | 4110 SOUTHPOINT BLVD., STE. 110, JACKSONVILLE, FL, 32216, US | 4110 SOUTHPOINT BLVD., STE. 110, JACKSONVILLE, FL, 32216, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-269-8050 |
| Fax | 9042697378 |
Authorized person
| Name | MR. WILLIAM JOHN MUYRES |
| Role | CEO |
| Phone | 9042698050 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 201550952 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 027005900 |
| State | FL |
| Issuer | HEALTHEASE |
| Number | 163507 |
| State | FL |
| Issuer | MEDICAID |
| Number | 080452596 |
| State | FL |
| Issuer | BCBS DME |
| Number | R3463 |
| State | FL |
| Issuer | BCBS HOME HEALTH |
| Number | J3M |
| State | FL |
| Issuer | MEDICAID |
| Number | 027005901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Daughtry Tania M | Agent | 4110 SOUTHPOINT BLVD. STE 110, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| MIKAN CHARLOTTE | President | 4110 Southpoint Blvd., Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| MIKAN CHARLOTTE | Chairman | 4110 Southpoint Blvd., Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| DAUGHTRY TANIA | Vice President | 4110 Southpoint Blvd., Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| DAUGHTRY TANIA | Secretary | 4110 Southpoint Blvd., Jacksonville, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-10-17 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
