| Entity Name: | INSPIRATION HEALTH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jul 2009 (16 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L09000068884 |
| FEI/EIN Number | 270563345 |
| Address: | 434 GROVE AVE, WINTER PARK, FL, 32789 |
| Mail Address: | 434 GROVE AVE., WINTER PARK, FL, 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467764787 | 2010-07-02 | 2012-01-13 | 434 GROVE AVE, WINTER PARK, FL, 327893651, US | 434 GROVE AVE, WINTER PARK, FL, 327893651, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 407-644-5567 |
Authorized person
| Name | SUSAN ELIZABETH MATTOX |
| Role | CLINICAL DIRECTOR |
| Phone | 4076445567 |
Taxonomy
| Taxonomy Code | 261QB0400X - Birthing Clinic/Center |
| License Number | 296 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | B0000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 002434300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Mattox Susan E | Agent | 434 Grove Avenue, Winter Park, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| MATTOX SUSAN E | Managing Member | 434 Grove Avenue, Winter Park, FL, 32789 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000024856 | INSPIRATION FAMILY BIRTH CENTER | EXPIRED | 2016-03-08 | 2021-12-31 | No data | 434 GROVE AVENUE, WINTER PARK, FL, 32789 |
| G10000057983 | INSPIRATION FAMILY BIRTH CENTER | EXPIRED | 2010-06-23 | 2015-12-31 | No data | 13900 CR 455 SUITE 107#124, CLERMONT, FL, 34711 |
| G09000136070 | INSPIRATION MIDWIFERY | EXPIRED | 2009-07-17 | 2014-12-31 | No data | 13900 COUNTY ROAD 455, SUITE 107 #124, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-17 | Mattox, Susan E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-17 | 434 Grove Avenue, Winter Park, FL 32789 | No data |
| CHANGE OF MAILING ADDRESS | 2010-11-23 | 434 GROVE AVE, WINTER PARK, FL 32789 | No data |
| LC AMENDMENT | 2010-07-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-07-01 | 434 GROVE AVE, WINTER PARK, FL 32789 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000304471 | ACTIVE | 2021-000835-CA-01 | 11TH CIRCUIT IN MIAMI-DADE | 2020-09-02 | 2026-06-18 | $33,312.70 | NATIONAL FUNDING, INC., 9820 TOWNE CENTRE DRIVE, SAN DIEGO, CA 92121 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-17 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-01-16 |
| AMENDED ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-01-12 |
| ANNUAL REPORT | 2011-02-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
