| Entity Name: | HIRA HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Feb 2006 (19 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L06000019290 |
| FEI/EIN Number | 204352049 |
| Address: | 294 Venetian Bay circle, sanford, FL, 32771, US |
| Mail Address: | P. O. Box 620054, OVIEDO, FL, 32762, US |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871774844 | 2007-11-19 | 2014-12-22 | PO BOX 620054, OVIEDO, FL, 327620054, US | 85 GENEVA DR, OVIEDO, FL, 327656757, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-366-2677 |
| Fax | 4073662535 |
Authorized person
| Name | ANIL BAROT |
| Role | OWNER |
| Phone | 4073662677 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 23024 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032399300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 032399301DME |
| State | FL |
| Issuer | PK |
| Number | 2149120 |
| Name | Role | Address |
|---|---|---|
| BAROT ANIL H | Agent | 294 Venetian bay circle, Sanford, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| BAROT ANIL H | Manager | P. O. Box 620054, OVIEDO, FL, 32762 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000056053 | OVIEDO HEALTHMART PHARMACY | EXPIRED | 2010-06-18 | 2015-12-31 | No data | 85 GENEVA DRIVE, OVIEDO, FL, 32765, US |
| G10000041048 | OVIEDO DISCOUNT PHARMACY | EXPIRED | 2010-05-10 | 2015-12-31 | No data | 85, GENEVA DRIVE, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-29 | 294 Venetian bay circle, Sanford, FL 32771 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-29 | 294 Venetian Bay circle, sanford, FL 32771 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-29 | 294 Venetian Bay circle, sanford, FL 32771 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-06-16 | BAROT, ANIL H | No data |
| LC AMENDMENT | 2014-06-16 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2013-11-04 | HIRA HEALTHCARE LLC | No data |
| LC NAME CHANGE | 2007-08-07 | KPS HEALTHCARE LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-01-30 |
| LC Amendment | 2014-06-16 |
| ANNUAL REPORT | 2014-03-31 |
| LC Amendment and Name Change | 2013-11-04 |
| ANNUAL REPORT | 2013-04-04 |
| ANNUAL REPORT | 2012-03-01 |
| ANNUAL REPORT | 2011-03-31 |
| ANNUAL REPORT | 2010-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
