| Entity Name: | CONNECTION HEALTHCARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 May 2020 (5 years ago) |
| Document Number: | P20000038748 |
| FEI/EIN Number | 851140741 |
| Mail Address: | P.O. BOX 10192, TAMPA, FL, 33679, US |
| Address: | 2700 N. MacDill Ave, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1740861418 | 2021-04-15 | 2023-02-13 | PO BOX 10192, TAMPA, FL, 336790192, US | 2700 N MACDILL AVE STE 116, TAMPA, FL, 336072284, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-263-7341 |
| Phone | +1 813-773-8400 |
| Fax | 8135259687 |
Authorized person
| Name | MS. TALIA CHEREESE JACOBS |
| Role | CEO |
| Phone | 8132637341 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253J00000X - Foster Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JACOBS TALIA C | Agent | 2700 N. MacDill Ave, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Jacobs Talia C | Chief Executive Officer | 2700 N. MacDill Ave, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Baisden Chevella C | Chief Operating Officer | 2700 N. MacDill Ave, TAMPA, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000114274 | CONNECTION H.C. | ACTIVE | 2024-09-12 | 2029-12-31 | No data | 2700 N. MACDILL AVE, SUITE 116, TAMPA, FL, 33607 |
| G24000100754 | CONNECTION HEALTH | ACTIVE | 2024-08-23 | 2029-12-31 | No data | 2700 N. MACDILL AVE, SUITE 116, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 2700 N. MacDill Ave, Suite 116, TAMPA, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 2700 N. MacDill Ave, Suite 116, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-01 | 2700 N. MacDill Ave, Suite 116, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| AMENDED ANNUAL REPORT | 2021-10-01 |
| ANNUAL REPORT | 2021-01-27 |
| Domestic Profit | 2020-05-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
