| Entity Name: | MEDIASSIST HOME HEALTH CARE SERVICES AGENCY CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Feb 2003 (22 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P03000015876 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 16235 SW 117 AVE, UNIT 3, MIAMI, FL, 33177 |
| Mail Address: | 16235 SW 117 AVE, UNIT 3, MIAMI, FL, 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861434557 | 2006-06-10 | 2014-12-01 | 16235 SW 117TH AVE, UNIT 3, MIAMI, FL, 331771644, US | 16235 SW 117TH AVE, UNIT 3, MIAMI, FL, 331771644, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-971-5155 |
| Fax | 3059715156 |
Authorized person
| Name | MR. HENRY MULLALES |
| Role | CEO |
| Phone | 3059717155 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991776 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D1101346 |
| State | FL |
| Issuer | AHCA |
| Number | 299991776 |
| State | FL |
| Issuer | MEDICAID |
| Number | 651004300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Meta Cynthia | Agent | 16235 SW 117 AVE, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| Meta Cynthia | President | 16235 SW 117 AVE, MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-16 | Meta, Cynthia | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-12 | 16235 SW 117 AVE, UNIT 3, MIAMI, FL 33177 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-12 | 16235 SW 117 AVE, UNIT 3, MIAMI, FL 33177 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-12 | 16235 SW 117 AVE, UNIT 3, MIAMI, FL 33177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-16 |
| AMENDED ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-03-19 |
| AMENDED ANNUAL REPORT | 2014-10-22 |
| AMENDED ANNUAL REPORT | 2014-07-11 |
| ANNUAL REPORT | 2014-01-29 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-02-13 |
| ANNUAL REPORT | 2011-03-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
