| Entity Name: | ADOM HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Apr 2016 (9 years ago) |
| Document Number: | L16000076936 |
| FEI/EIN Number | 81-2277159 |
| Address: | 7347 SPRING HILL DRIVE, SPRING HILL, FL, 34606, US |
| Mail Address: | 7347 SPRING HILL DRIVE, SPRING HILL, FL, 34606, US |
| ZIP code: | 34606 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588016315 | 2016-07-05 | 2017-03-06 | 7347 SPRING HILL DR, SPRING HILL, FL, 346064300, US | 7347 SPRING HILL DR, SPRING HILL, FL, 346064300, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-515-6311 |
| Fax | 3525156371 |
Authorized person
| Name | NADEGE CASSEUS |
| Role | OWNER |
| Phone | 3525156311 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30234 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019177800 |
| State | FL |
| Issuer | PK |
| Number | 2162275 |
| Name | Role | Address |
|---|---|---|
| Casseus Nadege | Agent | 7347 SPRING HILL DRIVE, SPRING HILL, FL, 34606 |
| Name | Role | Address |
|---|---|---|
| CASSEUS NADEGE | Manager | 7347 SPRING HILL DRIVE, SPRING HILL, FL, 34606 |
| Name | Role | Address |
|---|---|---|
| YEBOAH STEPHEN B | Authorized Member | 7347 SPRING HILL DRIVE, SPRING HILL, FL, 34606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-21 | Casseus, Nadege | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-12 | 7347 SPRING HILL DRIVE, SPRING HILL, FL 34606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-27 | 7347 SPRING HILL DRIVE, SPRING HILL, FL 34606 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-27 | 7347 SPRING HILL DRIVE, SPRING HILL, FL 34606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-13 |
| Florida Limited Liability | 2016-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
