| Entity Name: | CCMEDIC HOMECARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Oct 2021 (3 years ago) |
| Document Number: | L21000455101 |
| FEI/EIN Number | 87-3485496 |
| Address: | 7320 E Fletcher Ave., TAMPA, FL, 33637, US |
| Mail Address: | 7320 E. Fletcher Ave., TAMPA, FL, 33637, US |
| ZIP code: | 33637 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376245381 | 2023-03-21 | 2023-05-08 | 7320 E FLETCHER AVE STE 155, TAMPA, FL, 336370916, US | 7320 E FLETCHER AVE STE 155, TAMPA, FL, 336370916, US | |||||||||||||||||
|
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| Phone | +1 816-944-2243 |
Authorized person
| Name | IDONGESIT E JOSEPH |
| Role | REGISTERED NURSE |
| Phone | 8136160446 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Joseph Idongesit E | Agent | 7320 E. Fletcher Ave, Tampa, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| JOSEPH IDONGESIT E | Mgr | 7320 E fletcher Ave, TAMPA, FL, 33637 |
| Edet Nsikakabasi E | Mgr | 7320 E Fletcher Ave., TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-06 | 7320 E Fletcher Ave., TAMPA, FL 33637 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-06 | Joseph, Idongesit E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-06 | 7320 E. Fletcher Ave, Suite 155, Tampa, FL 33637 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-03 | 7320 E Fletcher Ave., TAMPA, FL 33637 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-06 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-05-01 |
| Florida Limited Liability | 2021-10-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
