| Entity Name: | MCARE HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Sep 2015 (9 years ago) |
| Document Number: | L15000158743 |
| FEI/EIN Number | 47-5114316 |
| Address: | 5853 54TH AVE N, KENNETH CITY, FL 33709 |
| Mail Address: | 5853 54TH AVE N, KENNETH CITY, FL 33709 |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265890404 | 2016-02-02 | 2016-11-29 | 5853 54TH AVE N, KENNETH CITY, FL, 337091901, US | 5853 54TH AVE N, KENNETH CITY, FL, 337091901, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-202-6684 |
| Fax | 7272136785 |
Authorized person
| Name | MENA ISAAC |
| Role | PHARM D. |
| Phone | 7275044032 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29837 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2157923 |
| Issuer | MEDICAID |
| Number | 018243000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISAAC, MENA | Agent | 5853 54TH AVE N., KENNETH CITY, FL 33709 |
| Name | Role | Address |
|---|---|---|
| ISAAC, MENA | Manager | 5853 54TH AVE N., KENNETH CITY, FL 33709 |
| Bolos, Moress | Manager | 5853 54TH AVE N, KENNETH CITY, FL 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-21 | 5853 54TH AVE N., KENNETH CITY, FL 33709 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-11-10 | 5853 54TH AVE N, KENNETH CITY, FL 33709 | No data |
| CHANGE OF MAILING ADDRESS | 2016-11-10 | 5853 54TH AVE N, KENNETH CITY, FL 33709 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-20 |
| Florida Limited Liability | 2015-09-17 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
