Entity Name: | CARETYME LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 22 Jan 2019 (6 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 01 Apr 2019 (6 years ago) |
Document Number: | L19000021331 |
FEI/EIN Number | 83-3322872 |
Address: | 10940 N 56TH ST, SUITE 206, TEMPLE TERRACE, FL, 33617, US |
Mail Address: | 10940 N 56TH ST, SUITE 206, TEMPLE TERRACE, FL, 33617, US |
ZIP code: | 33617 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720647191 | 2019-06-10 | 2019-06-10 | 19046 BRUCE B DOWNS BLVD STE B6-703, TAMPA, FL, 336472434, US | 1923 WEST ST. JOHN STREET, TAMPA, FL, 33607, US | |||||||||||||||||||
|
Phone | +1 813-401-4005 |
Authorized person
Name | CALISIA SAPP |
Role | OWNER |
Phone | 8134014005 |
Taxonomy
Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 750393 |
State | FL |
Name | Role | Address |
---|---|---|
SAPP CALISIA | Agent | 10940 N 56TH ST, TEMPLE TERRACE, FL, 33617 |
Name | Role | Address |
---|---|---|
SAPP CALISIA | Manager | 10940 N 56th St, Temple Terrace, FL, 33617 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-09-25 | 10940 N 56TH ST, SUITE 206, TEMPLE TERRACE, FL 33617 | No data |
CHANGE OF MAILING ADDRESS | 2023-09-25 | 10940 N 56TH ST, SUITE 206, TEMPLE TERRACE, FL 33617 | No data |
REGISTERED AGENT NAME CHANGED | 2023-09-25 | SAPP, CALISIA | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-09-25 | 10940 N 56TH ST, SUITE 206, TEMPLE TERRACE, FL 33617 | No data |
LC AMENDMENT | 2019-04-01 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-01 |
Reg. Agent Change | 2023-09-25 |
ANNUAL REPORT | 2023-04-06 |
ANNUAL REPORT | 2022-05-01 |
ANNUAL REPORT | 2021-04-13 |
ANNUAL REPORT | 2020-06-06 |
LC Amendment | 2019-04-01 |
Florida Limited Liability | 2019-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State