| Entity Name: | PRIVATE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Oct 1987 (37 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | J96018 |
| FEI/EIN Number | 65-0010487 |
| Address: | 580 VILLAGO BLVD., 270, WEST PALM BEACH, FL 33409 |
| Mail Address: | 580 VILLAGO BLVD., 270, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215087838 | 2007-01-12 | 2020-08-22 | 580 VILLAGE BLVD STE 270, WEST PALM BEACH, FL, 334091904, US | 580 VILLAGE BLVD STE 270, WEST PALM BEACH, FL, 334091904, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-616-2715 |
| Fax | 5616842332 |
Authorized person
| Name | MRS. THAMARVA L MITCHELL-LEGETTE |
| Role | BILLING MANAGER |
| Phone | 5616162715 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA20963095 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | H5T |
| State | FL |
| Issuer | MEDICAID |
| Number | 02875796 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIVATE CARE, INC. 401K PLAN | 2010 | 262936757 | 2011-05-11 | PRIVATE CARE, INC. | 19 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 262936757 |
| Plan administrator’s name | PRIVATE CARE, INC. |
| Plan administrator’s address | 1 SHELDRAKE LANE, PALM BEACH GARDENS, FL, 33418 |
| Administrator’s telephone number | 5613092826 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-11 |
| Name of individual signing | MIMI LARKIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-05-11 |
| Name of individual signing | PRIVATE CARE, INC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LARKIN, MIMI K. | Agent | 1 SHELDRAKE LANE, PALM BEACH GARDENS, FL 33418 |
| Name | Role | Address |
|---|---|---|
| LARKIN, MIMI K. | Director | 1 SHELDRAKE LANE, PALM BEACH GARDENS, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-03 | 580 VILLAGO BLVD., 270, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2007-05-03 | 580 VILLAGO BLVD., 270, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-06-22 | 1 SHELDRAKE LANE, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-07-11 |
| ANNUAL REPORT | 2007-05-03 |
| ANNUAL REPORT | 2006-04-20 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-02-04 |
| ANNUAL REPORT | 2003-01-27 |
| ANNUAL REPORT | 2002-03-12 |
| ANNUAL REPORT | 2001-05-05 |
| ANNUAL REPORT | 2000-06-22 |
| ANNUAL REPORT | 1999-04-14 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
