| Entity Name: | GOLD CARE HOME HEALTH SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Jan 2011 (14 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P11000003054 |
| FEI/EIN Number | 274497095 |
| Address: | 1502 WEST BUSCH BOULEVARD, SUITE E, TAMPA, FL, 33612, US |
| Mail Address: | 1502 WEST BUSCH BOULEVARD, SUITE E, TAMPA, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295032241 | 2011-02-25 | 2013-02-26 | 1502 W BUSCH BLVD, SUITE E, TAMPA, FL, 336127668, US | 1502 W BUSCH BLVD, SUITE E, TAMPA, FL, 336127668, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-443-5219 |
| Fax | 8134435220 |
Authorized person
| Name | PILAR GARCIA-LORENZO |
| Role | PRESIDENT/CEO/ADMIN |
| Phone | 8134435219 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993825 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004053200 |
| State | FL |
| Issuer | CMS CERTIFICATION NUMBER (CCN) |
| Number | 10-9758 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ AMAURY | Agent | 1502 WEST BUSCH BOULEVARD, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ AFRODICIO R | Director | 1502 WEST BUSCH BOULEVARD, TAMPA, FL, 336127668 |
| PEREZ AMAURY | Director | 1502 W BUSCH BLVD SUITE E, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| GARCIA PILAR | Vice President | 1502 W BUSCH BLVD SUITE E, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PEREZ AMAURY | President | 1502 W BUSCH BLVD SUITE E, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PEREZ AMAURY | Secretary | 1502 W BUSCH BLVD SUITE E, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| AMENDMENT | 2014-07-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-07-03 | PEREZ, AMAURY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-07-03 | 1502 WEST BUSCH BOULEVARD, SUITE E, TAMPA, FL 33612 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-11 | 1502 WEST BUSCH BOULEVARD, SUITE E, TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-11 | 1502 WEST BUSCH BOULEVARD, SUITE E, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| Amendment | 2014-07-03 |
| ANNUAL REPORT | 2014-02-10 |
| ANNUAL REPORT | 2013-01-21 |
| ANNUAL REPORT | 2012-03-28 |
| ADDRESS CHANGE | 2011-01-11 |
| Domestic Profit | 2011-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
