| Entity Name: | MEDENVIOS HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Oct 2004 (20 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 16 May 2008 (17 years ago) |
| Document Number: | P04000137883 |
| FEI/EIN Number | 061733361 |
| Address: | 7415 CORPORATE CENTER DR, BAY E, MIAMI, FL, 33126, US |
| Mail Address: | 7415 CORPORATE CENTER DR, BAY E, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | MEDENVIOS HEALTHCARE, INC., ALABAMA | 000-941-829 | ALABAMA |
| Headquarter of | MEDENVIOS HEALTHCARE, INC., NEW YORK | 4173807 | NEW YORK |
| Headquarter of | MEDENVIOS HEALTHCARE, INC., MINNESOTA | 42f7e8a8-6014-e111-aff2-001ec94ffe7f | MINNESOTA |
| Headquarter of | MEDENVIOS HEALTHCARE, INC., KENTUCKY | 0806461 | KENTUCKY |
| Headquarter of | MEDENVIOS HEALTHCARE, INC., ILLINOIS | CORP_66630145 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376648501 | 2006-09-13 | 2020-08-20 | 7415 CORPORATE CENTER DR STE E, MIAMI, FL, 331261215, US | 7415 CORPORATE CENTER DR STE E, MIAMI, FL, 331261215, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-639-1980 |
| Fax | 3056391979 |
Authorized person
| Name | MR. MICHAEL PAUL GARCIA |
| Role | PRESIDENT |
| Phone | 3056391980 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1312693 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004776600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 2886855 |
| State | TX |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDENVIOS HEALTHCARE, INC. 401(K) PLAN | 2021 | 061733361 | 2022-10-05 | MEDENVIOS HEALTHCARE, INC. | 97 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-10-05 |
| Name of individual signing | ALEX GARCIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 3056391980 |
| Plan sponsor’s address | 7415 NW 19TH STREET - BAY E AND F, MIAMI, FL, 33126 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-12 |
| Name of individual signing | ALEX GARCIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 3056391980 |
| Plan sponsor’s address | 7415 NW 19TH STREET - BAY E AND F, MIAMI, FL, 33126 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-07 |
| Name of individual signing | ALEX GARCIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 3056391980 |
| Plan sponsor’s address | 7415 NW 19TH STREET - BAY E AND F, MIAMI, FL, 33126 |
Plan administrator’s name and address
| Administrator’s EIN | 571177705 |
| Plan administrator’s name | MEDENVIOS HEALTHCARE, INC. |
| Plan administrator’s address | 7415 NW 19TH STREET - BAY E AND F, MIAMI, FL, 33126 |
| Administrator’s telephone number | 3059947595 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-02 |
| Name of individual signing | ALEX GARCIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Garcia Michael Officer | Agent | 1200 South Pine Island Road, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| GARCIA MICHAEL | President | 7415 CORPORATE CENTER DR, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| GARCIA ALEXANDER R | Vice President | 7415 CORPORATE CENTER DR, MIAMI, FL, 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000159824 | RITE AID MEDICAL | ACTIVE | 2020-12-16 | 2025-12-31 | No data | 7415 CORPORATE CENTER DR., STE E, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-01 | Garcia, Michael, Officer | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-15 | 7415 CORPORATE CENTER DR, BAY E, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-09 | 7415 CORPORATE CENTER DR, BAY E, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-14 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| NAME CHANGE AMENDMENT | 2008-05-16 | MEDENVIOS HEALTHCARE, INC. | No data |
| AMENDMENT | 2005-12-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-14 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
