| Entity Name: | CHIPOLA HOME HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 27 Mar 1989 (36 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | K77673 |
| FEI/EIN Number | 59-2951223 |
| Address: | 3048 4TH ST, MARIANNA, FL 32446 |
| Mail Address: | 4314 5TH AVE., MARIANNA, FL 32446 |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1831114453 | 2006-07-13 | 2020-08-22 | PO BOX 5047, MERIDIAN, MS, 393025047, US | 3048 4TH ST, MARIANNA, FL, 324462129, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 800-447-4095 |
| Fax | 6014827490 |
| Phone | +1 850-526-5530 |
| Fax | 8505263004 |
Authorized person
| Name | SCOTT PARAMORE |
| Role | PRESIDENT |
| Phone | 8505265530 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH10875 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | P5554 |
| State | FL |
| Issuer | BCBS NPAR |
| Number | P8466 |
| State | FL |
| Issuer | BCBS NPAR |
| Number | R6001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARAMORE, EARL SCOTT | Agent | 4292 WOODBRIAR ROAD, MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| PARAMORE, EARL SCOTT | President | 4295 WOODBRIAR ROAD, MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| LEWIS, RODNEY ALLEN | Secretary | 7289 SHADY GROVE ROAD, GRAND RIDGE, FL 32442 |
| Name | Role | Address |
|---|---|---|
| LEWIS, RODNEY ALLEN | Treasurer | 7289 SHADY GROVE ROAD, GRAND RIDGE, FL 32442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-27 | 3048 4TH ST, MARIANNA, FL 32446 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-11 | 3048 4TH ST, MARIANNA, FL 32446 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-11 | 4292 WOODBRIAR ROAD, MARIANNA, FL 32446 | No data |
| REINSTATEMENT | 1999-05-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-28 |
| ANNUAL REPORT | 2008-03-11 |
| ANNUAL REPORT | 2007-01-30 |
| ANNUAL REPORT | 2006-03-13 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-04-12 |
| ANNUAL REPORT | 2003-03-20 |
| ANNUAL REPORT | 2002-04-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
