| Entity Name: | FAMILY CARE MENTAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FAMILY CARE MENTAL HEALTH, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Dec 2020 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L20000395603 |
| FEI/EIN Number |
85-4347234
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 13919 BRIARDALE LN, TAMPA, FL, 33618 |
| Address: | 9340 N FLORIDA AVE, STE F, TAMPA, FL, 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487242483 | 2021-01-05 | 2021-04-04 | 13919 BRIARDALE LN, TAMPA, FL, 336182115, US | 9340 N FLORIDA AVE STE F, TAMPA, FL, 336127925, US | |||||||||||||||||||
|
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| Phone | +1 813-703-0016 |
Authorized person
| Name | JAVIER VALDES BANGUELA |
| Role | OWNER |
| Phone | 8137030016 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109316300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDES BANGUELA JAVIER | Manager | 9340 N FLORIDA AVE STE F, TAMPA, FL, 33612 |
| VALDES ELIZABETH | Manager | 9340 N FLORIDA AVE STE F, TAMPA, FL, 33612 |
| VALDES BANGUELA JAVIER | Agent | 13919 BRIARDALE LN, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-04 |
| Florida Limited Liability | 2020-12-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
