| Entity Name: | MARY'S CARING ANGELS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Dec 2016 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Nov 2017 (7 years ago) |
| Document Number: | P16000099489 |
| FEI/EIN Number | 82-0710642 |
| Address: | 6324 NW 64th Ave, OCALA, FL, 34482, US |
| Mail Address: | 6324 NW 64th Ave, OCALA, FL, 34482, US |
| ZIP code: | 34482 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659997179 | 2020-06-20 | 2020-06-20 | 915 SW FORT KING ST, OCALA, FL, 344711503, US | 915 SW FORT KING ST, OCALA, FL, 344711503, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-502-2938 |
Authorized person
| Name | MR. KELVIN IVIA GAINES JR. |
| Role | PRESIDENT |
| Phone | 3525022938 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023658000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAINES KELVIN IJR. | Agent | 6324 NW 64th Ave, OCALA, FL, 34482 |
| Name | Role | Address |
|---|---|---|
| GAINES KELVIN IJR. | President | 6324 NW 64th Ave, OCALA, FL, 34482 |
| Name | Role | Address |
|---|---|---|
| GAINES KELVIN IJR. | Treasurer | 6324 NW 64th Ave, OCALA, FL, 34482 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 6324 NW 64th Ave, OCALA, FL 34482 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 6324 NW 64th Ave, OCALA, FL 34482 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-31 | 6324 NW 64th Ave, OCALA, FL 34482 | No data |
| AMENDMENT | 2017-11-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-07 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-09 |
| Amendment | 2017-11-15 |
| Domestic Profit | 2016-12-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
