Entity Name: | HOME AGAIN OXYGEN & MOBILITY PRODUCTS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 06 Dec 2001 (23 years ago) |
Date of dissolution: | 27 Sep 2013 (11 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2013 (11 years ago) |
Document Number: | L01000021265 |
FEI/EIN Number | 651157917 |
Address: | 25270 BERNWOOD DRIVE, UNIT 5, BONITA SPRINGS, FL, 34135 |
Mail Address: | 25270 BERNWOOD DRIVE, UNIT 5, BONITA SPRINGS, FL, 34135 |
ZIP code: | 34135 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114920410 | 2005-05-31 | 2012-06-07 | 25270 BERNWOOD DR, UNIT 5, BONITA SPRINGS, FL, 341357897, US | 25270 BERNWOOD DR, UNIT 5, BONITA SPRINGS, FL, 341357897, US | |||||||||||||||||||||||||||||||
|
Phone | +1 239-390-1077 |
Fax | 2393900444 |
Authorized person
Name | MR. RICHARD G HEADLEY |
Role | OWNER |
Phone | 2393901077 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 1651 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 026048700 |
State | FL |
Issuer | BLUE CROSS BLUE SHIELD |
Number | R9401 |
State | FL |
Name | Role | Address |
---|---|---|
HEADLEY RICHARD G | Agent | 25270 BERNWOOD DRIVE, UNIT 5, BONITA SPRINGS, FL, 34135 |
Name | Role | Address |
---|---|---|
HEADLEY RICHARD G | Manager | 24851 PENNYROYAL DR., BONITA SPRINGS, FL, 34134 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2011-08-19 | HEADLEY, RICHARD G | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-02-23 | 25270 BERNWOOD DRIVE, UNIT 5, BONITA SPRINGS, FL 34135 | No data |
CHANGE OF MAILING ADDRESS | 2010-02-23 | 25270 BERNWOOD DRIVE, UNIT 5, BONITA SPRINGS, FL 34135 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2010-02-23 | 25270 BERNWOOD DRIVE, UNIT 5, BONITA SPRINGS, FL 34135 | No data |
LC AMENDMENT | 2007-05-29 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J14000695634 | TERMINATED | 1000000627506 | LEE | 2014-05-19 | 2034-05-29 | $ 2,325.35 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
J14000858521 | ACTIVE | 1000000624503 | LEE | 2014-05-12 | 2034-08-01 | $ 2,996.99 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
J13001030684 | ACTIVE | 1000000512111 | LEE | 2013-05-17 | 2033-05-29 | $ 456.75 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
J12001006827 | ACTIVE | 1000000405656 | LEE | 2012-11-26 | 2032-12-14 | $ 806.60 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
J11000431473 | LAPSED | 2011-CA-001371 | 20TH JUD CIRCUIT, LEE | 2011-06-27 | 2016-07-14 | $49,374.61 | WALGREEN CO., 200 WILMOT ROAD, DEERFIELD, ILLINOIS 60015 |
J05900017991 | LAPSED | 05-CC-002475 | CTY CIV DIV LEE CTY FL | 2005-10-17 | 2010-10-24 | $13449.34 | LYON FINANCIAL SERVICES, INC., 1310 MADRID STREET, SUITE 100, MARSHALL, MN 56258 |
Name | Date |
---|---|
ANNUAL REPORT | 2012-04-04 |
Reg. Agent Change | 2011-08-19 |
ANNUAL REPORT | 2011-01-19 |
ANNUAL REPORT | 2010-02-23 |
ANNUAL REPORT | 2009-01-16 |
ANNUAL REPORT | 2008-02-20 |
Off/Dir Resignation | 2007-05-29 |
LC Amendment | 2007-05-29 |
ANNUAL REPORT | 2007-04-10 |
ANNUAL REPORT | 2006-03-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State