Entity Name: | MERCY OF TAMPA, INCORPORATED |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 04 Aug 2004 (21 years ago) |
Last Event: | CANCEL ADM DISS/REV |
Event Date Filed: | 28 Sep 2009 (15 years ago) |
Document Number: | P04000114104 |
FEI/EIN Number | 202210251 |
Address: | 6428 EDEN LANE, TAMPA, FL, 33634 |
Mail Address: | 6428 Eden Lane, TAMPA, FL, 33634, US |
ZIP code: | 33634 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1689327546 | 2022-02-01 | 2022-02-01 | 6428 EDEN LN, TAMPA, FL, 336344710, US | 6428 EDEN LN, TAMPA, FL, 336344710, US | |||||||||||||||||||
|
Phone | +1 813-843-3326 |
Authorized person
Name | OLAYEMI FADIORA |
Role | OWNER |
Phone | 8138433326 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 685855496 |
State | FL |
Name | Role | Address |
---|---|---|
FADIORA OLAYEMI | Agent | 7316 WOODHALL COURT, TAMPA, FL, 33634 |
Name | Role | Address |
---|---|---|
FADIORA OLAYEMI | Director | 7316 WOODHALL COURT, TAMPA, FL, 33634 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2021-03-27 | 6428 EDEN LANE, TAMPA, FL 33634 | No data |
CANCEL ADM DISS/REV | 2009-09-28 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
NAME CHANGE AMENDMENT | 2008-04-11 | MERCY OF TAMPA, INCORPORATED | No data |
CHANGE OF PRINCIPAL ADDRESS | 2005-07-08 | 6428 EDEN LANE, TAMPA, FL 33634 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-03 |
ANNUAL REPORT | 2023-04-11 |
ANNUAL REPORT | 2022-02-01 |
ANNUAL REPORT | 2021-03-27 |
ANNUAL REPORT | 2020-08-31 |
ANNUAL REPORT | 2019-04-30 |
ANNUAL REPORT | 2018-04-30 |
ANNUAL REPORT | 2017-04-29 |
ANNUAL REPORT | 2016-03-31 |
ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State