| Entity Name: | KP CARE GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Nov 2012 (12 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P12000098059 |
| FEI/EIN Number | 46-1472710 |
| Address: | 2505 THONOTOSASSA RD, 108, PLANT CITY, FL 33563 |
| Mail Address: | 2505 THONOTOSASSA RD, 108, PLANT CITY, FL 33563 |
| ZIP code: | 33563 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124427596 | 2014-08-21 | 2016-01-25 | 2505 THONOTOSASSA RD, #108, PLANT CITY, FL, 335631464, US | 2505 THONOTOSASSA RD, 108, PLANT CITY, FL, 335631464, US | |||||||||||||||||||||||||
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| Phone | +1 813-365-3534 |
| Fax | 8887520242 |
Authorized person
| Name | ERIKA CARTER |
| Role | PRESIDENT |
| Phone | 8133653534 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015971000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Glenn, Jessica | Agent | 2505 THONOTOSASSA RD, 108, PLANT CITY, FL 33563 |
| Name | Role | Address |
|---|---|---|
| Glenn, Jessica | President | 2505 THONOTOSASSA RD, PLANT CITY, FL 33563 |
| Johnson, Patricia | President | 2505 THONOTOSASSA RD, PLANT CITY, FL 33563 |
| Name | Role | Address |
|---|---|---|
| Johnson, Patricia | Vice President | 2505 THONOTOSASSA RD, PLANT CITY, FL 33563 |
| Name | Role | Address |
|---|---|---|
| Johnson, Patricia | Secretary | 2505 THONOTOSASSA RD, PLANT CITY, FL 33563 |
| Name | Role | Address |
|---|---|---|
| Johnson, Patricia | Treasurer | 2505 THONOTOSASSA RD, PLANT CITY, FL 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-01 | Glenn, Jessica | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15001157375 | ACTIVE | 1000000699726 | HILLSBOROU | 2015-12-11 | 2035-12-23 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J15001157383 | ACTIVE | 1000000699733 | HILLSBOROU | 2015-12-11 | 2025-12-23 | $ 420.79 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J15000806576 | ACTIVE | 1000000688331 | HILLSBOROU | 2015-07-24 | 2025-07-29 | $ 1,278.19 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J15000692604 | ACTIVE | 1000000682799 | HILLSBOROU | 2015-06-15 | 2035-06-17 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-04-30 |
| Domestic Profit | 2012-11-29 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
