| Entity Name: | MAAHI LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 May 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Mar 2020 (5 years ago) |
| Document Number: | L14000086667 |
| FEI/EIN Number | 47-1012100 |
| Address: | 417 S. Tamiami Trail, Venice, FL 34285 |
| Mail Address: | 417 S. Tamiami Trail, Venice, FL 34285 |
| ZIP code: | 34285 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497293641 | 2017-02-08 | 2018-03-20 | 417 TAMIAMI TRL S, VENICE, FL, 342852600, US | 417 TAMIAMI TRL S, VENICE, FL, 342852600, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 941-786-9183 |
| Fax | 9417869183 |
| Phone | +1 941-786-9181 |
Authorized person
| Name | PINAL SHAH |
| Role | OWNER |
| Phone | 9417869181 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH28429 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2167539 |
| Issuer | MEDICAID |
| Number | 014819200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUSCA, DANIEL G | Agent | 2445 Tampa Road, Unit I, Palm Harbor, FL 34683 |
| Name | Role | Address |
|---|---|---|
| Gadgil, Nikhil | Manager | 417 S. Tamiami Trail, Venice, FL 34285 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000053813 | WE CARE PHARMACY | ACTIVE | 2014-06-04 | 2029-12-31 | No data | 11807 GRAMERCY PARK AVENUE, BRADENTON, FL, 34211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-18 | 417 S. Tamiami Trail, Venice, FL 34285 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-18 | 417 S. Tamiami Trail, Venice, FL 34285 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-18 | 2445 Tampa Road, Unit I, Palm Harbor, FL 34683 | No data |
| LC AMENDMENT | 2020-03-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-11 | MUSCA, DANIEL G | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-31 |
| LC Amendment | 2020-03-11 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-18 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
