| Entity Name: | CPAP MEDICAL SUPPLIES AND SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jun 2002 (23 years ago) |
| Document Number: | P02000067059 |
| FEI/EIN Number | 030455141 |
| Address: | 8930 Western Way, Suite 4, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 8930 Western Way, Suite 4, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255404919 | 2006-11-17 | 2016-04-07 | 8930 WESTERN WAY STE 4, JACKSONVILLE, FL, 322568396, US | 8930 WESTERN WAY STE 4, JACKSONVILLE, FL, 322568396, US | |||||||||||||||||||||||||
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| Phone | +1 904-281-2727 |
| Fax | 9042810444 |
Authorized person
| Name | MR. ROBERT PIERCE |
| Role | CEO |
| Phone | 9042812727 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1845 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025798200 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CPAP MEDICAL SUPPLIES AND SERVICES 401 (K)/PS PLAN | 2014 | 030455141 | 2015-07-20 | CPAP MEDICAL SUPPLIES AND SERVICES INC | 13 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-07-20 |
| Name of individual signing | ROBERT PIERCE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HERMS CHRISTOPHER | Agent | 8930 Western Way, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| HERMS CHRISTOPHER A | Chief Operating Officer | 8930 Western Way, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| OBER CRAIG J | Vice President | 8930 Western Way, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000096639 | CPAP MEDICAL | ACTIVE | 2011-09-30 | 2026-12-31 | No data | 8930 WESTERN WAY #4, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-06-26 | HERMS, CHRISTOPHER | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-28 | 8930 Western Way, Suite 4, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-28 | 8930 Western Way, Suite 4, JACKSONVILLE, FL 32256 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-28 | 8930 Western Way, Suite 4, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-01-12 |
| Reg. Agent Change | 2017-06-26 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
