| Entity Name: | ICARE HEALTH SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Apr 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2020 (4 years ago) |
| Document Number: | L13000055120 |
| FEI/EIN Number | 46-2604523 |
| Address: | 7600 Corporate Center Drive, Miami, FL, 33126, US |
| Mail Address: | 7600 Corporate Center Drive, Miami, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | ICARE HEALTH SOLUTIONS, LLC, KENTUCKY | 1242081 | KENTUCKY |
| Headquarter of | ICARE HEALTH SOLUTIONS, LLC, COLORADO | 20231861067 | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750833919 | 2016-11-03 | 2016-11-03 | 7352 NW 34TH ST, MIAMI, FL, 331221266, US | 7352 NW 34 ST, MIAMI, FL, 331221266, US | |||||||||||||||||||||||
|
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| Phone | +1 786-441-8471 |
Authorized person
| Name | MR. LARRY CLARIK |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 7864418471 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010395800 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Plevyak Dave | Manager | 3333 Quality Drive, Rancho Cordova, CA, 95670 |
| Harrold Jason | Manager | 45 Ballas Court, St. Louis, MO, 63131 |
| Stellmacher Ken | Manager | 7600 Corporate Center Drive, Miami, FL, 33126 |
| Stern Lee | Manager | 7600 Corporate Center Drive, Miami, FL, 33126 |
| Passuello Lester E | Manager | 3333 Quality Drive, Rancho Cordova, CA, 95670 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000077645 | ICARE HEALTH SOLUTIONS | EXPIRED | 2015-07-27 | 2020-12-31 | No data | 7352 N.W. 34TH ST, MIAMI, FL, 33122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 7600 Corporate Center Drive, Suite 200, Miami, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 7600 Corporate Center Drive, Suite 200, Miami, FL 33126 | No data |
| REINSTATEMENT | 2020-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-08 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-08 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-13 |
| REINSTATEMENT | 2020-10-08 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
