| Entity Name: | AMERICUS TOTAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Oct 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2023 (a year ago) |
| Document Number: | L17000203144 |
| FEI/EIN Number | 82-3100588 |
| Address: | 2308 AMERICUS DRIVE, CLEARWATER,, FL, 33763, US |
| Mail Address: | 2308 AMERICUS DRIVE, CLEARWATER,, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790316537 | 2020-01-30 | 2020-01-30 | 2308 AMERICUS DR, CLEARWATER, FL, 337634503, US | 2308 AMERICUS DR, CLEARWATER, FL, 337634503, US | |||||||||||||||||||||
|
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| Phone | +1 813-300-5713 |
| Fax | 8133005713 |
Authorized person
| Name | MRS. MARIE D ULYSSE |
| Role | AMINISTRATOR/OWNER |
| Phone | 8133005713 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104615600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ULYSSE MARIE D | Agent | 2308 AMERICUS DRIVE, CLEARWATER,, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| ULYSSE MARIE D | Administrator | 2308 AMERICUS DRIVE, CLEARWATER,, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| JENKINS DENISE | Manager | 2308 AMERICUS DRIVE, CLEARWATER,, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-06 | ULYSSE, MARIE D | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| REINSTATEMENT | 2023-10-06 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-08-07 |
| Florida Limited Liability | 2017-10-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
