| Entity Name: | 3D PROVIDERS CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
3D PROVIDERS CORPORATION is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Jul 2005 (20 years ago) |
| Date of dissolution: | 07 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Jan 2020 (5 years ago) |
| Document Number: | P05000093741 |
| FEI/EIN Number |
542177360
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 111 SW Sabre Ave, LAKE CITY, FL, 32024, US |
| Mail Address: | 111 SW Sabre Ave, LAKE CITY, FL, 32024, US |
| ZIP code: | 32024 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1427206481 | 2008-09-03 | 2014-10-23 | 111 SW SABRE AVE, LAKE CITY, FL, 320240923, US | 144 SW WATERFORD CT, SUITE 101, LAKE CITY, FL, 320250767, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-755-3465 |
| Phone | +1 386-752-0024 |
Authorized person
| Name | DONNA DELBENE |
| Role | PRESIDENT |
| Phone | 3867520024 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | 1370 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | Yes |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID-WAIVER |
| Number | 679482396 |
| State | FL |
| Issuer | HEALTH CARE SERVICES POOL |
| Number | 1370 |
| State | FL |
| Issuer | HOMEMAKER & COMPANION /AHCA |
| Number | 232905 |
| State | FL |
| Issuer | ELDER OPTIONS |
| Number | 679482301 |
| State | FL |
| Issuer | FLORIDA SUPPORTED LIVING WAIVER |
| Number | 679482398 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Delbene Donna M | President | 111 SW Sabre Ave, LAKE CITY, FL, 32024 |
| Delbene Donna M | Secretary | 111 SW Sabre Ave, LAKE CITY, FL, 32024 |
| DELBENE DONNA | Agent | 111 SW Sabre Ave, LAKE CITY, FL, 32024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000102397 | 3D STAFFING | EXPIRED | 2010-11-08 | 2015-12-31 | - | 322 S. MARION AVE, LAKE CITY, FL, 32025 |
| G08329900354 | THEWIGSTOP | EXPIRED | 2008-11-24 | 2013-12-31 | - | 111 SW SABRE AVE, LAKE CITY, FL, 32024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-07 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-05 | 111 SW Sabre Ave, LAKE CITY, FL 32024 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-05 | 111 SW Sabre Ave, LAKE CITY, FL 32024 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-05 | 111 SW Sabre Ave, LAKE CITY, FL 32024 | - |
| REGISTERED AGENT NAME CHANGED | 2005-11-22 | DELBENE, DONNA | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-07 |
| ANNUAL REPORT | 2019-02-05 |
| AMENDED ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-03-28 |
| AMENDED ANNUAL REPORT | 2015-11-10 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-02-05 |
| ANNUAL REPORT | 2013-02-04 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
