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MID-SOUTH HOME CARE SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name: MID-SOUTH HOME CARE SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 05 Dec 2017 (8 years ago)
Branch of: MID-SOUTH HOME CARE SERVICES, LLC, ALABAMA (Company Number 000-684-090)
Document Number: M17000010239
FEI/EIN Number 82-0559231
Address: 655 Brawley School Road, Suite 200, Mooresville, NC, 28117, US
Mail Address: 655 Brawley School Road, Suite 200, Mooresville, NC, 28117, US
Place of Formation: ALABAMA

Key Officers & Management

Name Role Address
Lazas Ronald C Gene 655 Brawley School Road, Mooresville, NC, 28117
Lazas Ronald C Manager 655 Brawley School Road, Mooresville, NC, 28117
Causby David Manager 655 Brawley School Road, Mooresville, NC, 28117
- Agent -

National Provider Identifier

NPI Number:
1679195028
Certification Date:
2025-05-16

Authorized Person:

Name:
JANET COMBS
Role:
VP OF LICENUSRE
Phone:

Taxonomy:

Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
4074127575

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000072169 EMPATIA PALLIATIVE CARE ACTIVE 2023-06-14 2028-12-31 - 6161 BLUE LAGOON DRIVE, SUITE 200, MIAMI, FL, 33126
G17000137113 EMERALD COAST PALLIATIVE CARE ACTIVE 2017-12-15 2027-12-31 - 655 BRAWLEY SCHOOL ROAD, STE 200, MOORESVILLE, NC, 28117

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-30 655 Brawley School Road, Suite 200, Mooresville, NC 28117 -
CHANGE OF MAILING ADDRESS 2024-04-30 655 Brawley School Road, Suite 200, Mooresville, NC 28117 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-28
AMENDED ANNUAL REPORT 2022-05-04
AMENDED ANNUAL REPORT 2022-05-03
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-01
AMENDED ANNUAL REPORT 2019-08-09
AMENDED ANNUAL REPORT 2019-08-08
ANNUAL REPORT 2019-03-18

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-01-25
Type:
Planned
Address:
5111 N 12TH AVE STE B, PENSACOLA, FL, 32504
Safety Health:
Health
Scope:
Partial

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Date of last update: 03 Aug 2025

Sources: Florida Department of State