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MAXICARE SELECT, INC. - Florida Company Profile

Company Details

Entity Name: MAXICARE SELECT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MAXICARE SELECT, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

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: 25 Feb 2000 (25 years ago)
Document Number: P00000020241
FEI/EIN Number 650986933

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4300 N University Dr, Lauderhill, FL, 33351, US
Mail Address: 4300 N University Dr, Lauderhill, FL, 33351, US
ZIP code: 33351
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467678813 2007-04-17 2015-08-27 8333 W. MCNAB RD. #113, TAMARAC, FL, 33321, US 8333 W. MCNAB RD #113, TAMARAC, FL, 33321, US

Contacts

Phone +1 954-771-2399
Fax 9547712491

Authorized person

Name LISA COOPER
Role PRESIDENT
Phone 9547712399

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 299991555
State FL
Is Primary Yes
Taxonomy Code 251E00000X - Home Health Agency
License Number 299991469
State FL
Is Primary No

Key Officers & Management

Name Role Address
Cooper Lisa Secretary 4300 N University Dr, Lauderhill, FL, 33351
Baumann Brent Treasurer 4300 N University Dr, Lauderhill, FL, 33351
Beavers Shad Vice President 4300 N University Dr, Lauderhill, FL, 33351
McDonald Brian President 4300 N University Dr, Lauderhill, FL, 33351
Legacy Care Partners, LLC Othe 4300 N University Dr, Lauderhill, FL, 33351
Cooper Lisa Agent 4300 N University Dr, Lauderhill, FL, 33351

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000035868 MULTI-MED HEALTHCARE EXPIRED 2015-04-09 2020-12-31 - 934 NORTH UNIVERSITY DRIVE, SUITE 219, CORAL SPRINGS, FL, 33071

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-06-26 4300 N University Dr, STE D106, Lauderhill, FL 33351 -
CHANGE OF PRINCIPAL ADDRESS 2023-09-06 4300 N University Dr, STE D106, Lauderhill, FL 33351 -
CHANGE OF MAILING ADDRESS 2023-09-06 4300 N University Dr, STE D106, Lauderhill, FL 33351 -
REGISTERED AGENT NAME CHANGED 2020-02-17 Cooper, Lisa -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-26
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-01-11
AMENDED ANNUAL REPORT 2022-08-25
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3271347106 2020-04-11 0455 PPP 833 W MCNAB RD Ste 113, TAMARAC, FL, 33321-3203
Loan Status Date 2022-03-03
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 416700
Loan Approval Amount (current) 152533.96
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMARAC, BROWARD, FL, 33321-3203
Project Congressional District FL-20
Number of Employees 55
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 152745.11
Forgiveness Paid Date 2022-01-03

Date of last update: 01 Apr 2025

Sources: Florida Department of State