| Entity Name: | HUM PROVIDER HOLDINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Mar 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 03 Aug 2022 (2 years ago) |
| Document Number: | M17000002097 |
| FEI/EIN Number | 26-3592783 |
| Address: | 500 West Main Street, Louisville, KY 40202 |
| Mail Address: | 500 West Main Street, Louisville, KY 40202 |
| Place of Formation: | DELAWARE |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Broussard, Bruce Dale | President and Chief Executive Officer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Preston, William Mark | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Marcoux Jr., Robert Martin | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Ruschell, Joseph Matthew | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Preston, William Mark | Investments | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Durall, Courtney Danielle | Assistant Corporate Secretary and Director | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Durall, Courtney Danielle | ESG Strategy | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Feld, Daniel Kevin | Associate VP | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Feld, Daniel Kevin | Tax | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Marcoux Jr., Robert Martin | Treasurer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Diamond, Susan Marie | Manager | 500 West Main Street, Louisville, KY 40202 |
| Broussard, Bruce Dale | Manager | 500 West Main Street, Louisville, KY 40202 |
| Ruschell, Joseph Matthew | Manager | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Littig, John Stephen | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Enterprise Associate | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Business Solutions | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Littig, John Stephen | GMS | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Littig, John Stephen | Operational Risk Management | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Diamond, Susan Marie | Chief Financial Officer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Ruschell, Joseph Matthew | Associate General Counsel and Corporate Secretary | 500 West Main Street, Louisville, KY 40202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000154115 | CLINICAL CARE MEDICAL CENTERS | ACTIVE | 2024-12-19 | 2029-12-31 | No data | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-11 | 500 West Main Street, Louisville, KY 40202 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-11 | 500 West Main Street, Louisville, KY 40202 | No data |
| LC STMNT OF RA/RO CHG | 2022-08-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-03 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-03 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| LC AMENDMENT | 2017-07-10 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-12 |
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-29 |
| CORLCRACHG | 2022-08-03 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-16 |
| AMENDED ANNUAL REPORT | 2019-06-17 |
| ANNUAL REPORT | 2019-04-24 |
| AMENDED ANNUAL REPORT | 2018-08-07 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
