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  5. HEARTFELT HOME CARE, INC.

HEARTFELT HOME CARE, INC.

Company Details

Entity Name: HEARTFELT HOME CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Aug 2003 (21 years ago)
Date of dissolution: 30 Dec 2016 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 Dec 2016 (8 years ago)
Document Number: P03000093670
FEI/EIN Number 200172586
Address: 9742 Green Island Cove, Windermere, FL, 34786, US
Mail Address: 9742 Green Island Cove, Windermere, FL, 34786, US
ZIP code: 34786
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699757385 2005-11-17 2012-03-02 4305 VINELAND ROAD, SUITE G-16A, ORLANDO, FL, 328117303, US 2003 BARTOW RD, LAKELAND, FL, 338016556, US

Contacts
Phone +1 407-956-1880
Fax 4078261988
Phone +1 863-683-5010
Fax 8636835020

Authorized person
Name MS. SUSAN T. MCCASKILL
Role CEO / ADMINISTRATOR
Phone 4079091087

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
License Number HHA299991837
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 651021300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTFELT HOME CARE INC.401(K) PROFIT SHARING PLAN & TRUST 2014 200172586 2015-12-18 HEARTFELT HOME CARE INC 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 812990
Sponsor’s telephone number 4076947372
Plan sponsor’s DBA name HEARTFELT HOME CARE
Plan sponsor’s address 9742 GREEN ISLAND COVE, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2015-12-18
Name of individual signing SUSAN MCCASKILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-18
Name of individual signing SUSAN MCCASKILL
Valid signature Filed with authorized/valid electronic signature
HEARTFELT HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2014 200172586 2015-06-01 HEARTFELT HOME CARE INC. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 812990
Sponsor’s telephone number 4079561880
Plan sponsor’s address 1101 N LAKE DESTINY RD SUITE 300, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2015-06-01
Name of individual signing JANINE CABAJ
Valid signature Filed with authorized/valid electronic signature
HEARTFELT HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2013 200172586 2014-10-15 HEARTFELT HOME CARE INC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 812990
Sponsor’s telephone number 4079561880
Plan sponsor’s address 1101 NORTH LAKE DESTINY RD, SUITE 300, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JANINE CABAJ
Valid signature Filed with authorized/valid electronic signature
HEARTFELT HOME CARE INC 401 K PROFIT SHARING PLAN TRUST 2012 200172586 2013-08-02 HEARTFELT HOME CARE, INC 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 812990
Sponsor’s telephone number 4079561880
Plan sponsor’s address 4305 VINELAND RD STE G16A, ORLANDO, FL, 32811

Signature of
Role Plan administrator
Date 2013-08-02
Name of individual signing HEARTFELT HOME CARE, INC
Valid signature Filed with authorized/valid electronic signature
HEARTFELT HOME CARE INC 401 K PROFIT SHARING PLAN TRUST 2011 200172586 2012-05-18 HEARTFELT HOME CARE, INC 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 812990
Sponsor’s telephone number 4079561880
Plan sponsor’s address 4305 VINELAND ROAD, SUITE G-16, ORLANDO, FL, 32811

Plan administrator’s name and address
Administrator’s EIN 200172586
Plan administrator’s name HEARTFELT HOME CARE, INC
Plan administrator’s address 4305 VINELAND ROAD, SUITE G-16, ORLANDO, FL, 32811
Administrator’s telephone number 4079561880

Signature of
Role Plan administrator
Date 2012-05-18
Name of individual signing HEARTFELT HOME CARE, INC
Valid signature Filed with authorized/valid electronic signature
HEARTFELT HOME CARE INC 401 K PROFIT SHARING PLAN TRUST 2011 200172586 2012-05-18 HEARTFELT HOME CARE, INC 117
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 812990
Sponsor’s telephone number 4079561880
Plan sponsor’s address 4305 VINELAND ROAD, SUITE G-16, ORLANDO, FL, 32811

Plan administrator’s name and address
Administrator’s EIN 200172586
Plan administrator’s name HEARTFELT HOME CARE, INC
Plan administrator’s address 4305 VINELAND ROAD, SUITE G-16, ORLANDO, FL, 32811
Administrator’s telephone number 4079561880

Signature of
Role Plan administrator
Date 2012-05-18
Name of individual signing HEARTFELT HOME CARE, INC
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
MCCASKILL SUSAN T Agent 9742 Green Island Cove, Windermere, FL, 34786

Chief Executive Officer

Name Role Address
MCCASKILL SUSAN T Chief Executive Officer 9742 Green Island Cove, Windermere, FL, 34786

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08161900149 HEARTFELT HOME CARE, INC. EXPIRED 2008-06-07 2013-12-31 No data 9742 GREEN ISLAND COVE, WINDERMERE, FL, 34786-8953

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-12-30 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-04-15 9742 Green Island Cove, Windermere, FL 34786 No data
CHANGE OF MAILING ADDRESS 2016-04-15 9742 Green Island Cove, Windermere, FL 34786 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-15 9742 Green Island Cove, Windermere, FL 34786 No data
REGISTERED AGENT NAME CHANGED 2012-04-10 MCCASKILL, SUSAN TESQ No data

Documents

Name Date
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-03-03
ANNUAL REPORT 2013-01-29
ANNUAL REPORT 2012-04-10
ANNUAL REPORT 2011-03-11
ANNUAL REPORT 2010-02-12
ANNUAL REPORT 2009-02-18
ANNUAL REPORT 2008-02-15
ANNUAL REPORT 2007-01-24

Related by officers

MCCASKILL SUSAN T

HEARTFELT PRIVATE NURSING SERVICES, INC. SUSAN T. MCCASKILL, P.A. CAREPROPERTIES, L.L.C. ACCREDITED HEALTH CARE, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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