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LAKESIDE HOME CARE SERVICES INC

Company Details

Entity Name: LAKESIDE HOME CARE SERVICES INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Feb 2016 (9 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: P16000015227
Address: 4222 W. GREEN ST, TAMPA, FL, 33607
Mail Address: 4222 W. GREEN ST, TAMPA, FL, 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326494105 2016-05-10 2016-05-10 4222 W GREEN ST, TAMPA, FL, 336074102, US 4222 W GREEN ST, TAMPA, FL, 336074102, US

Contacts

Phone +1 813-321-0440
Fax 8132809151

Authorized person

Name LAKINA LAKE
Role ADMINISTRATOR
Phone 8133210440

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
License Number 234419
State FL
Is Primary Yes

Other Provider Identifiers

Issuer HOMEMAKER & COMPAINION SERVICES
Number 234419
State FL

Agent

Name Role Address
LAKE THOMAS Agent 4222 W. GREEN ST, TAMPA, FL, 33607

President

Name Role Address
LAKE LAKINA President 4222 W. GREEN ST, TAMPA, FL, 33607

Vice President

Name Role Address
LAKE THOMAS Vice President 4222 W. GREEN ST, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
Domestic Profit 2016-02-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State