| Entity Name: | COMFORT CARE MEDICAL EQUIPMENT & UNIFORMS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Dec 2001 (23 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Aug 2009 (16 years ago) |
| Document Number: | P01000116091 |
| FEI/EIN Number | 651158214 |
| Address: | 17860 SE 109TH AVENUE, SUMMERFIELD, FL, 34491-8909, US |
| Mail Address: | 17860 SE 109th Ave, Summerfield, FL, 34491-8909, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215032529 | 2006-09-13 | 2019-04-23 | 17860 SE 109TH AVE STE 630, SUMMERFIELD, FL, 344918909, US | 17860 SE 109TH AVE, SUITE 630, SUMMERFIELD, FL, 344918909, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-307-3511 |
| Fax | 3523075858 |
Authorized person
| Name | MRS. BRENDA J COUNSELL |
| Role | PRESIDENT |
| Phone | 3523073511 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 237 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032199100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COUNSELL BRENDA J | Agent | 17860 SE 109th Ave, Summerfield, FL, 344918909 |
| Name | Role | Address |
|---|---|---|
| COUNSELL BRENDA J | President | 555 SW 87TH PL, OCALA, FL, 34476 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000083761 | ACTIVE HOME MEDICAL | ACTIVE | 2021-06-23 | 2026-12-31 | No data | 17860 SE 109TH AVE SUITE 630, SUMMERFIELD, FL, 34491 |
| G15000027667 | ACTIVE HOME MEDICAL | EXPIRED | 2015-03-17 | 2020-12-31 | No data | 10475 S.E. HWY. 441, BELLEVIEW, FL, 34420 |
| G12000100849 | PINK CONNECTION | EXPIRED | 2012-10-16 | 2017-12-31 | No data | 10475 SE HWY 441, BELLEVIEW, FL, 34420 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-05 | 17860 SE 109TH AVENUE, SUITE 630, SUMMERFIELD, FL 34491-8909 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-05 | 17860 SE 109th Ave, Suite 630, Summerfield, FL 34491-8909 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-08-27 | 17860 SE 109TH AVENUE, SUITE 630, SUMMERFIELD, FL 34491-8909 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-12-15 | COUNSELL, BRENDA J | No data |
| AMENDMENT | 2009-08-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-07-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
