| Entity Name: | NATIONAL HOME MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Feb 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P05000022736 |
| FEI/EIN Number | 202326558 |
| Address: | 13211 N NEBRASKA AVENUE, SUITE G, TAMPA, FL, 33612, US |
| Mail Address: | 13211 N NEBRASKA AVENUE, SUITE G, TAMPA, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871615195 | 2007-04-06 | 2010-07-08 | 13211 N NEBRASKA AVE, SUITE G, TAMPA, FL, 336122602, US | 13211 N NEBRASKA AVE, SUITE G, TAMPA, FL, 336122602, US | |||||||||||||||||||||||||
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| Phone | +1 813-615-1011 |
| Fax | 8136151033 |
Authorized person
| Name | DAN WADE |
| Role | PRESIDENT |
| Phone | 8136151011 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 9376 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | R9880 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WADE DANIEL W | Agent | 7717 MARBELLA CREEK AVENUE, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| WADE DANIEL W | President | 7717 MARBELLA CREEK AVENUE, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| NAME CHANGE AMENDMENT | 2006-09-21 | NATIONAL HOME MEDICAL, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-05-11 | 13211 N NEBRASKA AVENUE, SUITE G, TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2006-05-11 | 13211 N NEBRASKA AVENUE, SUITE G, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-21 |
| ANNUAL REPORT | 2010-01-08 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-03-14 |
| Name Change | 2006-09-21 |
| ANNUAL REPORT | 2006-05-11 |
| Domestic Profit | 2005-02-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
