| Entity Name: | HOME ABILITY STORE , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Jul 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L15000117702 |
| FEI/EIN Number | 474525659 |
| Address: | 9201 Cockleshell Court, Bonita Springs, FL, 34135, US |
| Mail Address: | 9201 Cockleshell Court, Bonita Springs, FL, 34135, US |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982058004 | 2016-04-14 | 2016-04-14 | 7660 PHILIPS HIGHWAY, SUITE 4, JACKSONVILLE, FL, 32256, US | 7660 PHILIPS HIGHWAY, SUITE 4, JACKSONVILLE, FL, 32256, US | |||||||||||||||||||||||
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| Phone | +1 904-999-4705 |
Authorized person
| Name | MR. THIERRY GRABER |
| Role | PRESIDENT & CEO |
| Phone | 9043669476 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA HME LICENSE NUMBER |
| Number | 1313961 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRABER THIERRY | Agent | 18213 WILDBLUE BLVD, FORT MYERS, FL, 33913 |
| Name | Role | Address |
|---|---|---|
| Graber Thierry | Managing Member | 18213 Wildblue Blve, Fort Myers, FL, 339137999 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-21 | 9201 Cockleshell Court, Suite 1, Bonita Springs, FL 34135 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-21 | 9201 Cockleshell Court, Suite 1, Bonita Springs, FL 34135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-21 | 18213 WILDBLUE BLVD, FORT MYERS, FL 33913 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-07-21 |
| ANNUAL REPORT | 2019-09-16 |
| ANNUAL REPORT | 2018-09-11 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| Florida Limited Liability | 2015-07-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
