| Entity Name: | MCZELL HEALTH CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Jul 2008 (17 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L08000065372 |
| FEI/EIN Number | 262934080 |
| Address: | 13071 119TH ST. NORTH, LARGO, FL, 33778 |
| Mail Address: | 13071 119TH ST. NORTH, LARGO, FL, 33778 |
| ZIP code: | 33778 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598905747 | 2009-03-01 | 2009-03-01 | 13071 119TH ST, LARGO, FL, 337781411, US | 2301 E COLBY LN, TAMPA, FL, 336127157, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-377-5422 |
Authorized person
| Name | MELISSA LONETTE MCZELL |
| Role | ADMINISTRATOR |
| Phone | 8133775422 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL11405 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000137600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000395401 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000467900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000467901 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000395400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCZELL MELISSA L | Agent | 13071 119TH ST. NORTH, LARGO, FL, 33778 |
| Name | Role | Address |
|---|---|---|
| MCZELL MELISSA L | Manager | 13071 119TH ST. NORTH, LARGO, FL, 33778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-11-09 | 13071 119TH ST. NORTH, LARGO, FL 33778 | No data |
| CHANGE OF MAILING ADDRESS | 2025-11-09 | 13071 119TH ST. NORTH, LARGO, FL 33778 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-09 | 13071 119TH ST. NORTH, LARGO, FL 33778 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-09 | 13071 119TH ST. NORTH, LARGO, FL 33778 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-01-16 |
| Florida Limited Liability | 2008-07-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
