| Entity Name: | THOMAS FAMILY CARE SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Nov 2018 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Nov 2020 (4 years ago) |
| Document Number: | P18000095412 |
| FEI/EIN Number | 83-2424320 |
| Address: | 13054 SW 67TH AVENUE, OCALA, FL, 34473, US |
| Mail Address: | 13054 sw 67th Avenue, OCALA, FL, 34473, US |
| ZIP code: | 34473 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740805910 | 2020-06-12 | 2020-06-16 | 13054 SW 67TH AVE, OCALA, FL, 344735278, US | 13054 SW 67TH AVE, OCALA, FL, 344735278, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 352-454-4010 |
Authorized person
| Name | MRS. GLENDA THOMAS COLBERT |
| Role | PRESIDENT |
| Phone | 3525538623 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023438800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMAS JAMES GLENDA L | Agent | 13054 SW 67TH AVENUE, OCALA, FL, 34473 |
| Name | Role | Address |
|---|---|---|
| THOMAS JAMES GLENDA L | President | 13054 SW 67TH AVENUE, OCALA, FL, 34473 |
| Name | Role | Address |
|---|---|---|
| HOPKINS ROGER WJR | Secretary | 13054 SW 67TH AVENUE, OCALA, FL, 34473 |
| Name | Role | Address |
|---|---|---|
| Smith Tiffany N | Vice President | 13054 SW 67th Avenue, Ocala, FL, 34473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-05 | 13054 SW 67TH AVENUE, OCALA, FL 34473 | No data |
| AMENDMENT | 2020-11-20 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000706778 | ACTIVE | 1000001018570 | MARION | 2024-10-30 | 2034-11-06 | $ 1,293.68 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
| J24000330157 | TERMINATED | 1000000994930 | MARION | 2024-05-21 | 2034-05-29 | $ 439.54 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
| J23000497636 | TERMINATED | 1000000966934 | MARION | 2023-10-10 | 2033-10-18 | $ 430.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
| J23000172049 | TERMINATED | 1000000949805 | MARION | 2023-04-12 | 2043-04-19 | $ 1,097.49 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
| J23000172056 | ACTIVE | 1000000949806 | MARION | 2023-04-12 | 2033-04-19 | $ 738.24 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
| J22000278848 | TERMINATED | 1000000925256 | MARION | 2022-06-03 | 2032-06-08 | $ 610.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
| J21000472369 | TERMINATED | 1000000901627 | MARION | 2021-09-13 | 2031-09-15 | $ 494.72 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-01-28 |
| Amendment | 2020-11-20 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-06-21 |
| Domestic Profit | 2018-11-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
