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  5. CAPE CORAL HOSPITALISTS, INC.

CAPE CORAL HOSPITALISTS, INC.

Company Details

Entity Name: CAPE CORAL HOSPITALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Aug 2006 (18 years ago)
Document Number: P06000112007
FEI/EIN Number 205454152
Address: 1407 VISCAYA PARKWAY, CAPE CORAL, FL, 33990, US
Mail Address: 1407 VISCAYA PARKWAY, CAPE CORAL, FL, 33990, US
ZIP code: 33990
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336209790 2006-12-08 2020-06-12 13607 PINE VILLA LN, FORT MYERS, FL, 339121617, US 13607 PINE VILLA LN, FORT MYERS, FL, 339121617, US

Contacts
Phone +1 239-938-6192
Fax 2394244041

Authorized person
Name ANAND RAJ MAHADEVAN
Role PRESIDENT
Phone 2399386192

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME86995
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 269969900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2018 205454152 2019-09-27 CAPE CORAL HOSPITALISTS, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2018 205454152 2019-02-20 CAPE CORAL HOSPITALISTS, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2017 205454152 2018-02-16 CAPE CORAL HOSPITALISTS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2016 205454152 2017-06-21 CAPE CORAL HOSPITALISTS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2015 205454152 2016-07-25 CAPE CORAL HOSPITALISTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2014 205454152 2015-07-30 CAPE CORAL HOSPITALISTS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2013 205454152 2014-06-12 CAPE CORAL HOSPITALISTS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2014-06-12
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-12
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2012 205454152 2013-07-22 CAPE CORAL HOSPITALISTS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2011 205454152 2012-07-27 CAPE CORAL HOSPITALISTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912

Plan administrator’s name and address
Administrator’s EIN 205454152
Plan administrator’s name CAPE CORAL HOSPITALISTS, INC.
Plan administrator’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912
Administrator’s telephone number 2398877372

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
CAPE CORAL HOSPITALISTS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2010 205454152 2011-07-26 CAPE CORAL HOSPITALISTS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2398877372
Plan sponsor’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912

Plan administrator’s name and address
Administrator’s EIN 205454152
Plan administrator’s name CAPE CORAL HOSPITALISTS, INC.
Plan administrator’s address 13607 PINE VILLA LANE, FORT MYERS, FL, 33912
Administrator’s telephone number 2398877372

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing ANAND R. MAHADEVAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAHADEVAN ANAND R Agent 1407 VISCAYA PARKWAY, CAPE CORAL, FL, 33990

President

Name Role Address
MAHADEVAN ANAND R President 1407 VISCAYA PARKWAY, CAPE CORAL, FL, 33990

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000049825 KYMERA ACTIVE 2012-05-31 2027-12-31 No data 1407 VISCAYA PARKWAY, UNIT 2, CAPE CORAL, FL, 33990

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-30 1407 VISCAYA PARKWAY, Unit # 2, CAPE CORAL, FL 33990 No data
CHANGE OF MAILING ADDRESS 2022-03-30 1407 VISCAYA PARKWAY, Unit # 2, CAPE CORAL, FL 33990 No data
REGISTERED AGENT NAME CHANGED 2022-03-30 MAHADEVAN, ANAND R. No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-30 1407 VISCAYA PARKWAY, Unit # 2, CAPE CORAL, FL 33990 No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-15

Related by officers

MAHADEVAN ANAND R

KRYSALIS CORP HOUSECALLS MD SWFL LLC SR HEALTH ENTERPRISES LLC M & M HEALTH ENTERPRISES LLC ANGELS HOME CARE OF FLORIDA LLC GVX CORP ANGELS HOME HEALTH OF FLORIDA CORP S MEYER HEALTHCARE CONSULTING LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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