Entity Name: | PRIDE IN-HOME CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 26 Jul 2013 (12 years ago) |
Date of dissolution: | 23 Sep 2016 (8 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2016 (8 years ago) |
Document Number: | P13000062774 |
FEI/EIN Number | 46-3579137 |
Address: | 5007 SOUTH ZION STREET, TAMPA, FL, 33611 |
Mail Address: | 5007 SOUTH ZION STREET, TAMPA, FL, 33611 |
ZIP code: | 33611 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801210281 | 2014-02-06 | 2014-08-29 | 3225 S MACDILL AVE, SUITE 129-183, TAMPA, FL, 336298171, US | 5007 S ZION ST, TAMPA, FL, 336113845, US | |||||||||||||||||||||||||||
|
Phone | +1 813-839-3010 |
Fax | 8134432375 |
Phone | +1 813-368-5109 |
Authorized person
Name | MR. GEORGE SCOTT BARRETT |
Role | OWNER |
Phone | 8133685109 |
Taxonomy
Taxonomy Code | 305S00000X - Point of Service |
License Number | 233299 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 010407100 |
State | FL |
Name | Role | Address |
---|---|---|
BARRETT George S | Agent | 5007 SOUTH ZION STREET, TAMPA, FL, 33611 |
Name | Role | Address |
---|---|---|
BARRETT George S | President | 5007 SOUTH ZION STREET, TAMPA, FL, 33611 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2014-04-18 | BARRETT, George S | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2015-04-16 |
ANNUAL REPORT | 2014-04-18 |
Domestic Profit | 2013-07-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State