| Entity Name: | JUDAH IN HOME SUPPORT CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Sep 2015 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P15000076188 |
| FEI/EIN Number | 47-4972486 |
| Address: | 5211 NW, MAYFIELD LANE, PORT ST LUCIE, FL 34983 |
| Mail Address: | 4812 SOUTH US 1, FORT PIERCE, FL 34982 |
| ZIP code: | 34983 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326572272 | 2017-04-18 | 2017-04-18 | 4812 S US HIGHWAY 1, FORT PIERCE, FL, 349827078, US | 4812 S FEDERAL HWY # 1, FORT PIERCE, FL, 349827078, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 772-203-4762 |
| Phone | +1 772-742-8145 |
| Fax | 7727428145 |
Authorized person
| Name | MRS. CHARMAINE GAYNOR MUIR |
| Role | MANAGER OWNER |
| Phone | 7722034762 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 017020700 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018713800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 017020700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUIR, CHARMAINE, MRS | Agent | 5211 NW, MAYFIELD LANE, PORT ST LUCIE, FL 34983 |
| Name | Role | Address |
|---|---|---|
| MUIR, CHARMAINE G, MRS | President | 5211 NW, PORT ST LUCIE, FL 34983 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-31 | 5211 NW, MAYFIELD LANE, PORT ST LUCIE, FL 34983 | No data |
| AMENDMENT | 2015-10-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-31 |
| Amendment | 2015-10-05 |
| Domestic Profit | 2015-09-14 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
