| Entity Name: | MS SUPPLY & HOME HEALTH CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jan 2002 (23 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P02000003509 |
| FEI/EIN Number | 030374741 |
| Address: | 618 WARE BLVD, TAMPA, FL, 33619 |
| Mail Address: | P O BOX 2642, BRANDON, FL, 33509 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538406277 | 2013-01-15 | 2013-01-15 | PO BOX 2642, BRANDON, FL, 335092642, US | 1315 HOMESTEAD RD N, UNIT G, LEHIGH ACRES, FL, 339366034, US | |||||||||||||||||||||||||
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| Phone | +1 800-680-3722 |
| Fax | 8006802899 |
Authorized person
| Name | MRS. MAGDALENA SANTOS |
| Role | ADMINISTRATIOR |
| Phone | 8006803722 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994094 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032330600 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPIN-OFF TERMINATION PLAN FOR MS SUPPLY & HOME HEALTH CO. | 2023 | 030374741 | 2024-04-16 | MS SUPPLY & HOME HEALTH CO. | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 161254312 |
| Plan administrator’s name | ONONDAGA EMPLOYEE LEASING SERVICES, INC. |
| Plan administrator’s address | 5015 CAMPUSWOOD DR., SUITE 204, EAST SYRACUSE, NY, 13057 |
| Administrator’s telephone number | 3154637838 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-16 |
| Name of individual signing | JOHN GOLDTHWAITE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| TAMPA BAY BUSINESS CONSULTANTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SANTOS MANUEL A | President | 1407 NEW BRITAIN DR., BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| SANTOS MAGDALENA | Vice President | 2005 BRIDGEHAMPTON PL, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-04 | 618 WARE BLVD, TAMPA, FL 33619 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-04 | 401 E FERN STREET, TAMPA, FL 33604 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-04 | TAMPA BAY BUSINESS CONSULTANTS, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-10-26 | 618 WARE BLVD, TAMPA, FL 33619 | No data |
| NAME CHANGE AMENDMENT | 2009-08-03 | MS SUPPLY & HOME HEALTH CO. | No data |
| AMENDMENT | 2003-10-20 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2019-10-04 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-22 |
| ANNUAL REPORT | 2015-01-26 |
| ANNUAL REPORT | 2014-03-04 |
| ANNUAL REPORT | 2013-03-08 |
| ANNUAL REPORT | 2012-10-26 |
| ANNUAL REPORT | 2012-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
