| Entity Name: | ADEM HEALTHCARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 May 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000072052 |
| FEI/EIN Number | 20-4961221 |
| Address: | 8002 LA SERENA DRIVE, TAMPA, TAMPA, FL 33614 |
| Mail Address: | 8002 LA SERENA DRIVE, TAMPA, TAMPA, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720243587 | 2008-07-22 | 2008-07-22 | 8002 LA SERENA DR, TAMPA, FL, 336142735, US | 8002 LA SERENA DR, TAMPA, FL, 336142735, US | |||||||||||||||||||||||
|
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| Phone | +1 813-933-9673 |
Authorized person
| Name | MR. KEHINDE ADE OLAYISADE |
| Role | ADMINISTRATOR |
| Phone | 8134208036 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 692678998 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 692978996 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLAYISADE, KEHINDE A | Agent | 8002 LA SERENA DRIVE, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| OLAYISADE, KEHINDE A | Chief Executive Officer | 8002 LA SERENA DRIVE, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| FAMUYIDE, SAIDAT B | Vice President | 8002 LA SERENA DRIVE, TAMPA, FL 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-09-03 |
| ANNUAL REPORT | 2007-08-31 |
| Domestic Profit | 2006-05-23 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
