| Entity Name: | 6TH ST. BRIDGE MOBILITY AND HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Feb 2020 (5 years ago) |
| Document Number: | L20000034689 |
| FEI/EIN Number | 84-4617328 |
| Address: | 1205 Tech Blvd Building B, SUITE 104, TAMPA, FL 33619 |
| Mail Address: | 1205 Tech Blvd Building B, SUITE 104, TAMPA, FL 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770118309 | 2020-03-04 | 2024-05-30 | 1205 TECH BLVD STE 104, TAMPA, FL, 336197856, US | 1205 TECH BLVD STE 104, TAMPA, FL, 336197856, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-787-8375 |
| Fax | 8137147274 |
| Phone | +1 813-621-2001 |
| Fax | 8137019681 |
Authorized person
| Name | RICHARD MCINTYRE |
| Role | OWNER |
| Phone | 8132230000 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107636400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCINTYRE, RICHARD J | Agent | 500 E KENNEDY BLVD STE 200, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| MCINTYRE, RICHARD J | Manager | 500 E KENNEDY BLVD STE 200, TAMPA, FL 33602 |
| Liebel, Steven E. | Manager | 7812 DeSoto Memorial Highway, Bradenton, FL 34209 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000127122 | 6TH STREET BRIDGE MOBILITY | ACTIVE | 2020-09-30 | 2025-12-31 | No data | 500 EAST KENNEDY BLVD., SUITE 200, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-20 | 1205 Tech Blvd Building B, SUITE 104, TAMPA, FL 33619 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-20 | 1205 Tech Blvd Building B, SUITE 104, TAMPA, FL 33619 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-26 | 500 E KENNEDY BLVD STE 200, TAMPA, FL 33602 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000121568 | TERMINATED | 1000000918223 | HILLSBOROU | 2022-03-08 | 2042-03-09 | $ 785.22 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-05-09 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-26 |
| Florida Limited Liability | 2020-02-05 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
