| Entity Name: | DESOTO HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Jun 2002 (23 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P02000064816 |
| FEI/EIN Number | 510415064 |
| Address: | 311 N. MARION AVE, LAKE CITY, FL, 32055 |
| Mail Address: | 311 N. MARION AVE, LAKE CITY, FL, 32055 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235132671 | 2005-05-31 | 2020-08-22 | 311 N MARION AVE, LAKE CITY, FL, 320552866, US | 311 N MARION AVE, LAKE CITY, FL, 320552866, US | |||||||||||||||||||||||||
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| Phone | +1 386-752-1699 |
| Fax | 3867526000 |
Authorized person
| Name | MR. SHAUN GRUBB |
| Role | PRESIDENT |
| Phone | 3867521699 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 1919 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | R9451 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRUBB SHAUN | Agent | 311 N. MARION AVE., LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| HOUSTON DONALD | Director | 297 MARION AVE, LAKE CITY, FL, 32055 |
| GRUBB SHAUN M | Director | 196 SW BRAVA WAY, LAKE CITY, FL, 32024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-07 | 311 N. MARION AVE, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-01-07 | GRUBB, SHAUN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-09-25 | 311 N. MARION AVE., LAKE CITY, FL 32055 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-04-07 | 311 N. MARION AVE, LAKE CITY, FL 32055 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-01-07 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-01-05 |
| ANNUAL REPORT | 2006-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
