| Entity Name: | MOLINA PROVIDER CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
MOLINA PROVIDER CARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Apr 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Jan 2023 (2 years ago) |
| Document Number: | L20000107349 |
| FEI/EIN Number |
85-0688097
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 21 S CLYDE AVE, SUITE # 7, KISSIMMEE, FL 34741 |
| Mail Address: | 21 S CLYDE AVE, SUITE # 7, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740801877 | 2020-04-29 | 2021-02-25 | 2544 ISABELA TER, KISSIMMEE, FL, 347435816, US | 2544 ISABELA TER, KISSIMMEE, FL, 347435816, US | |||||||||||||||||||
|
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| Phone | +1 407-334-1166 |
Authorized person
| Name | MARANGELY MOLINA |
| Role | DIRECTOR |
| Phone | 4073341166 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 18003090 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOLINA, MARANGELY | Agent | 1899 CASSIDY KNOLL DR, KISSIMMEE, FL 34744 |
| MOLINA, MARANGELY | Manager | 1899 CASSIDY KNOLL DR, KISSIMMEE, FL 34744 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000101346 | ACTIVE KINGDOM | ACTIVE | 2021-08-03 | 2026-12-31 | - | 1899 CASSIDY KNOLL DR, KISSIMMEE, FL, 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-01-29 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-29 | 21 S CLYDE AVE, SUITE # 7, KISSIMMEE, FL 34741 | - |
| CHANGE OF MAILING ADDRESS | 2023-01-29 | 21 S CLYDE AVE, SUITE # 7, KISSIMMEE, FL 34741 | - |
| REGISTERED AGENT NAME CHANGED | 2023-01-29 | MOLINA, MARANGELY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-29 | 1899 CASSIDY KNOLL DR, KISSIMMEE, FL 34744 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| REINSTATEMENT | 2023-01-29 |
| ANNUAL REPORT | 2021-02-12 |
| Florida Limited Liability | 2020-04-20 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
