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SOUTHWEST FLORIDA HOME CARE, INC.

Company Details

Entity Name: SOUTHWEST FLORIDA HOME CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jun 2002 (23 years ago)
Document Number: P02000060820
FEI/EIN Number 300083209
Address: 9720 Princess Palm Avenue, Tampa, FL, 33619, US
Mail Address: 9720 Princess Palm Avenue, Tampa, FL, 33619, US
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043030992 2024-10-15 2024-10-18 9720 PRINCESS PALM AVE STE 130, TAMPA, FL, 336198346, US 7714 MASSACHUSETTS AVE, NEW PORT RICHEY, FL, 346533024, US

Contacts

Phone +1 813-906-5058
Fax 8133745882

Authorized person

Name THOMAS MCKEOWN
Role ADMINISTRATOR
Phone 8139065058

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2023 300083209 2024-07-05 SOUTHWEST FLORIDA HOME CARE INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9720 PRINCESS PALM AVE., SUITE 130, TAMPA, FL, 336198346

Signature of

Role Plan administrator
Date 2024-07-05
Name of individual signing ANTHONY GAMBUZZA
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2019 300083209 2020-05-07 SOUTHWEST FLORIDA HOME CARE INC. 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 12651 MCGREGOR BLVD, SUITE 3-301, FT. MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2020-05-07
Name of individual signing ANTHONY GAMBUZZA
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2018 300083209 2019-07-10 SOUTHWEST FLORIDA HOME CARE INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 12651 MCGREGOR BLVD #3-301, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2019-07-10
Name of individual signing ANTHONY GAMBUZZA
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2017 300083209 2018-07-27 SOUTHWEST FLORIDA HOME CARE INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9101 WEST COLLEGE POINTED, R#2, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2018-07-27
Name of individual signing JEANNE PEASLEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing ANTHONY GAMBUZZA
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2016 300083209 2017-07-11 SOUTHWEST FLORIDA HOME CARE INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9101 WEST COLLEGE POINTED, R#2, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2017-07-11
Name of individual signing ANTHONY GAMBUZZA
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2015 300083209 2016-07-26 SOUTHWEST FLORIDA HOME CARE INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9101 WEST COLLEGE POINTED, R#2, FORT MYERS, FL, 33919
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2015 300083209 2016-07-26 SOUTHWEST FLORIDA HOME CARE INC. 63
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9101 WEST COLLEGE POINTED, R#2, FORT MYERS, FL, 33919
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2014 300083209 2015-07-31 SOUTHWEST FLORIDA HOME CARE INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9101 WEST COLLEGE POINTED, R#2, FORT MYERS, FL, 33919
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2013 300083209 2014-05-13 SOUTHWEST FLORIDA HOME CARE INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9101 WEST COLLEGE POINTED R#2, FORT MYERS, FL, 33919
SOUTHWEST FLORIDA HOME CARE INC. 401(K) PLAN 2012 300083209 2013-05-13 SOUTHWEST FLORIDA HOME CARE INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 2392755233
Plan sponsor’s address 9101 WEST COLLEGE POINTED R#2, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2013-05-13
Name of individual signing DIANE HEBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
GSK REGISTERED AGENTS, INC. Agent

President

Name Role Address
BRAHMS ROBERT President 9720 Princess Palm Avenue, Tampa, FL, 33619

Shar

Name Role Address
BEASLEY BRIAN Shar 9720 Princess Palm Avenue, Tampa, FL, 33619
BEASLEY BARBARA C Shar 9720 Princess Palm Avenue, Tampa, FL, 33619
BEASLEY BRUCE Shar 9720 Princess Palm Avenue, Tampa, FL, 33619
Beasley Robert Shar 9720 Princess Palm Avenue, Tampa, FL, 33619
Beasley Brad Shar 9720 Princess Palm Avenue, Tampa, FL, 33619

Date of last update: 01 Jan 2025

Sources: Florida Department of State