Entity Name: | INSPIRE CARE SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 25 Apr 2018 (7 years ago) |
Document Number: | L18000104555 |
FEI/EIN Number | 82-5396422 |
Address: | 7220 Samuel Ivy Drive, Tampa, FL 33619 |
Mail Address: | 7220 Samuel Ivy Drive, Tampa, FL 33619 |
ZIP code: | 33619 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205300480 | 2019-01-21 | 2019-01-21 | 3616 E 38TH AVE, TAMPA, FL, 336107017, US | 3616 E 38TH AVE, TAMPA, FL, 336107017, US | |||||||||||||||||||
|
Phone | +1 813-381-0433 |
Authorized person
Name | TAMICA BESS |
Role | DIRECTOR |
Phone | 8133810433 |
Taxonomy
Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 100012600 |
State | FL |
Name | Role | Address |
---|---|---|
BESS, TAMICA S | Agent | 7220 Samuel Ivy Drive, Tampa, FL 33619 |
Name | Role | Address |
---|---|---|
BESS, TAMICA S | Director | 7220 Samuel Ivy Drive, Tampa, FL 33619 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2020-06-18 | 7220 Samuel Ivy Drive, Tampa, FL 33619 | No data |
CHANGE OF MAILING ADDRESS | 2020-06-18 | 7220 Samuel Ivy Drive, Tampa, FL 33619 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-06-18 | 7220 Samuel Ivy Drive, Tampa, FL 33619 | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J21000057681 | ACTIVE | 1000000872875 | HILLSBOROU | 2021-01-20 | 2031-02-10 | $ 816.10 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-30 |
ANNUAL REPORT | 2022-03-07 |
ANNUAL REPORT | 2021-04-28 |
ANNUAL REPORT | 2020-06-18 |
ANNUAL REPORT | 2019-09-19 |
Florida Limited Liability | 2018-04-25 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State