| Entity Name: | MILLENNIUM CAREGIVERS AT HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Dec 2010 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L10000124627 |
| FEI/EIN Number | 274096210 |
| Address: | 301 W PLATT STREET, SUITE 114, TAMPA, FL, 33606, US |
| Mail Address: | 301 W PLATT STREET, SUITE 114, TAMPA, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952600611 | 2011-03-21 | 2011-03-21 | 2221 GORDON ST, TAMPA, FL, 336056416, US | 2221 GORDON ST, TAMPA, FL, 336056416, US | |||||||||||||||||||||||||
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| Phone | +1 813-223-2273 |
| Fax | 8886043094 |
Authorized person
| Name | MRS. CONNIE ARNETRA HARRIS |
| Role | MBRM |
| Phone | 8132232273 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 232075 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003063200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRIS CONNIE A | Agent | 301 W PLATT STREET, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| HARRIS CONNIE A | Managing Member | 301 W PLATT STREET SUITE 114, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-30 | HARRIS, CONNIE A | No data |
| REINSTATEMENT | 2015-11-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| PENDING REINSTATEMENT | 2013-10-14 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-10-11 | 301 W PLATT STREET, SUITE 114, TAMPA, FL 33606 | No data |
| REINSTATEMENT | 2013-10-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-10-11 | 301 W PLATT STREET, SUITE 114, TAMPA, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2013-10-11 | 301 W PLATT STREET, SUITE 114, TAMPA, FL 33606 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-29 |
| REINSTATEMENT | 2015-11-30 |
| ANNUAL REPORT | 2014-04-15 |
| REINSTATEMENT | 2013-10-11 |
| LC Name Change | 2011-01-18 |
| Florida Limited Liability | 2010-12-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
