| Entity Name: | MIDWAY GROUP HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 May 2018 (7 years ago) |
| Document Number: | L18000131365 |
| FEI/EIN Number | 82-1885582 |
| Address: | 2 Midway Road, Ocala, FL, 34472, US |
| Mail Address: | 2 Midway Road, Ocala, FL, 34472, US |
| ZIP code: | 34472 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740934165 | 2022-02-04 | 2022-02-04 | 2 MIDWAY RD, OCALA, FL, 344729679, US | 2 MIDWAY RD, OCALA, FL, 344729679, US | |||||||||||||||||||
|
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| Phone | +1 352-216-2266 |
Authorized person
| Name | VAIDWATTEE RAMJIT |
| Role | PROVIDER |
| Phone | 3522162266 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004959400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMJIT VAIDWATTEE | Agent | 2 Midway Road, Ocala, FL, 34472 |
| Name | Role | Address |
|---|---|---|
| Ramjit Vaidwattee | Owne | 2 Midway Road, Ocala, FL, 34472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-01 | 2 Midway Road, Ocala, FL 34472 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-01 | 2 Midway Road, Ocala, FL 34472 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-01 | 2 Midway Road, PH, Ocala, FL 34472 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-04-09 |
| Florida Limited Liability | 2018-05-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
