| Entity Name: | JAY HOME MEDICAL EQUIPMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Mar 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Jan 2024 (a year ago) |
| Document Number: | P03000034097 |
| FEI/EIN Number | 550825243 |
| Address: | 6277 POWERS AVE., JACKSONVILLE, FL, 32217, US |
| Mail Address: | 1750 Cedarbridge Ave., Lakewood, NJ, 08701, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487708327 | 2007-01-22 | 2022-05-02 | 6277 POWERS AVE, JACKSONVILLE, FL, 322172284, US | 6277 POWERS AVE, JACKSONVILLE, FL, 322172284, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-733-3026 |
| Fax | 9047333027 |
Authorized person
| Name | MR. MICHAEL WILLIAM BRUNO |
| Role | CFO/OWNER |
| Phone | 9047333026 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 2352 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023026100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LIND SYLVIA EESQ. | Agent | 2445 TAMPA ROAD, PALM HARBOR, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| ROTHSTEIN MOSHE | Secretary | 1750 CEDARBRIDGE AVE., LAKEWOOD, NJ, 08701 |
| Name | Role | Address |
|---|---|---|
| ZICHERMAN JOSEPH | President | 1750 CEDARBRIDGE AVE., LAKEWOOD, NJ, 08701 |
| Name | Role | Address |
|---|---|---|
| ZICHERMAN JOSEPH | Treasurer | 1750 CEDARBRIDGE AVE., LAKEWOOD, NJ, 08701 |
| Name | Role | Address |
|---|---|---|
| ROTHSTEIN MOSHE | Vice President | 1750 CEDARBRIDGE AVE., LAKEWOOD, NJ, 08701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-15 | 6277 POWERS AVE., JACKSONVILLE, FL 32217 | No data |
| AMENDMENT | 2024-01-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-19 | LIND, SYLVIA E., ESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-19 | 2445 TAMPA ROAD, PALM HARBOR, FL 34683 | No data |
| AMENDMENT | 2018-07-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-08-04 | 6277 POWERS AVE., JACKSONVILLE, FL 32217 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| Amendment | 2024-01-19 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-29 |
| Amendment | 2018-07-06 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
