| Entity Name: | PROVIDENT HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Jan 2019 (6 years ago) |
| Date of dissolution: | 29 Jan 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Jan 2021 (4 years ago) |
| Document Number: | P19000004128 |
| FEI/EIN Number | 83-3044681 |
| Address: | 1584 Farrier Trail, Clearwater, FL 33765 |
| Mail Address: | 123 PEBBLE CREEK RD., FRANKLIN, TN 37064 |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831662022 | 2019-01-10 | 2019-01-10 | 123 PEBBLE CREEK RD, FRANKLIN, TN, 370645525, US | 4934 17TH AVE N, ST PETERSBURG, FL, 337105202, US | |||||||||||||
|
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| Phone | +1 615-347-0900 |
Authorized person
| Name | DAVID E WILSON |
| Role | OWNER/CFO |
| Phone | 6153470900 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON, DAVID E | Agent | 1584 Farrier Trail, Clearwater, FL 33765 |
| Name | Role | Address |
|---|---|---|
| WILSON, DAVID E | Chief Financial Officer | 123 PEBBLE CREEK RD., FRANKLIN, TN 37064 |
| Name | Role | Address |
|---|---|---|
| BROWDER, JOE | President | 10236 CARNEGIE CLUB DR., COLLIERVILLE, TN 38017 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-01-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-28 | 1584 Farrier Trail, Clearwater, FL 33765 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-28 | 1584 Farrier Trail, Clearwater, FL 33765 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-01-29 |
| ANNUAL REPORT | 2020-02-28 |
| Domestic Profit | 2019-01-10 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
