| Entity Name: | CAMAGUEY HOME CARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Feb 2008 (17 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: | P08000017660 |
| Address: | 7171 CORAL WAY, SUITE 417-A, MIAMI, FL, 33155 |
| Mail Address: | 7171 CORAL WAY, SUITE 417-A, MIAMI, FL, 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245405810 | 2008-04-24 | 2008-04-24 | 7171 CORAL WAY, SUITE 417A, MIAMI, FL, 331551449, US | 7171 CORAL WAY, SUITE 417A, MIAMI, FL, 331551449, US | |||||||||||||||||||||||||
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| Phone | +1 305-222-2262 |
| Fax | 3052222262 |
Authorized person
| Name | MISS ANA B MARTINEZ-TAPIA |
| Role | ADMINISTRATOR |
| Phone | 3052222263 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | APPLYING FOR |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | APPLYING FOR |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESTRADA GUILLERMO | Agent | 14216 SW 161 PL, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| ESTRADA GUILLERMO | President | 14215 SW 161 PL, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| ESTRADA GUILLERMO | Director | 14215 SW 161 PL, MIAMI, FL, 33196 |
| MARTINEZ-TAPIA ANA B | Director | 14215 SW 161 PL, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ-TAPIA ANA B | Vice President | 14215 SW 161 PL, MIAMI, FL, 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2008-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
