| Entity Name: | HISCARE CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
HISCARE CLINIC LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 25 Sep 2007 (18 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L07000097474 |
| FEI/EIN Number |
201192101
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 4577 COLLINS RD, MARIANNA, FL, 32448, US |
| Address: | 4219 OLD COTTONDALE RD, MARIANNA, FL, 32448 |
| ZIP code: | 32448 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912251562 | 2012-11-05 | 2012-11-05 | 4577 COLLINS RD, MARIANNA, FL, 324485030, US | 4577 COLLINS RD, MARIANNA, FL, 324485030, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-693-3055 |
| Fax | 8504825208 |
Authorized person
| Name | MRS. ANGELA MCFARLAND |
| Role | CEO/ADMINISTRATOR |
| Phone | 8506933055 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | HISCARE07 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCFARLAND ANGELA G | Managing Member | 4577 COLLINS RD, MARIANNA, FL, 32448 |
| MCFARLAND WILLIAM D | Managing Member | 4577 COLLINS RD, MARIANNA, FL, 32448 |
| KENNERLY CANDACE M | Managing Member | 3810 BUENA VISTA - APT 19, COLUMBUS, GA, 31906 |
| MCFARLAND ANGELA G | Agent | 4577 COLLINS RD., MARIANNA, FL, 32448 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2010-04-28 | MCFARLAND, ANGELA GCEO | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-28 | 4577 COLLINS RD., MARIANNA, FL 32448 | - |
| CHANGE OF MAILING ADDRESS | 2009-04-20 | 4219 OLD COTTONDALE RD, MARIANNA, FL 32448 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-01-16 |
| Florida Limited Liability | 2007-09-25 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
