Entity Name: | D. HOLMES RESIDENTIAL CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 25 Mar 2002 (23 years ago) |
Date of dissolution: | 26 Sep 2014 (10 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (10 years ago) |
Document Number: | P02000034808 |
FEI/EIN Number | 043647417 |
Address: | 4612 SNOOK DRIVE, TAMPA, FL, 33617 |
Mail Address: | 4612 SNOOK DRIVE, TAMPA, FL, 33617 |
ZIP code: | 33617 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467621573 | 2008-02-22 | 2008-02-22 | 4763 PURITAN CIR, TAMPA, FL, 336178341, US | 4763 PURITAN CIR, TAMPA, FL, 336178341, US | |||||||||||||||||||||||||
|
Phone | +1 813-695-6684 |
Fax | 8132326195 |
Authorized person
Name | MS. DELORES Y. HOLMES |
Role | OWNER |
Phone | 8136956684 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | AL10103 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | GROUP NUMBER AMERICGROUP |
Number | 238031 |
State | FL |
Name | Role | Address |
---|---|---|
HOLMES DELORES | Agent | 4612 SNOOK DRIVE, TAMPA, FL, 33617 |
Name | Role | Address |
---|---|---|
HOLMES DELORES | Officer | 4612 SNOOK DRIVE, TAMPA, FL, 33617 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-01-05 | 4612 SNOOK DRIVE, TAMPA, FL 33617 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-01-05 | 4612 SNOOK DRIVE, TAMPA, FL 33617 | No data |
CHANGE OF MAILING ADDRESS | 2010-01-06 | 4612 SNOOK DRIVE, TAMPA, FL 33617 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2013-01-27 |
ANNUAL REPORT | 2012-02-09 |
ANNUAL REPORT | 2011-01-05 |
ANNUAL REPORT | 2010-01-06 |
ANNUAL REPORT | 2009-04-15 |
ANNUAL REPORT | 2008-02-21 |
ANNUAL REPORT | 2007-04-16 |
ANNUAL REPORT | 2006-03-20 |
ANNUAL REPORT | 2005-04-21 |
ANNUAL REPORT | 2004-07-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State