| Entity Name: | HOME CENTERED CNA CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Feb 2022 (3 years ago) |
| Document Number: | P22000018471 |
| FEI/EIN Number | 88-1219358 |
| Address: | 1124 E Yonge St, Pensacola, FL, 32503, US |
| Mail Address: | 1124 E Yonge St, Pensacola, FL, 32503, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639869019 | 2023-05-10 | 2023-05-10 | 1517 W GARDEN ST, PENSACOLA, FL, 325024508, US | 1517 W GARDEN ST, PENSACOLA, FL, 325024508, US | |||||||||||||||
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| Phone | +1 850-438-1122 |
| Fax | 8504381414 |
Authorized person
| Name | MARY ANN CRUMLISH |
| Role | PRESIDENT |
| Phone | 8504381122 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON WADE J | Agent | 1124 E Yonge St, Pensacola, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| CRUMLISH-VANDERWEERTMARY ANN | President | 319 BREMAN AVE, PENSACOLA, FL, 32507 |
| Name | Role | Address |
|---|---|---|
| MCKINNON DENIS JR | Vice President | 881 SOUTH G ST., PENSACOLA, FL, 32502 |
| MCKINNON DENIS SR | Vice President | 707 N 74TH AVE, PENSACOLA, FL, 32506 |
| Name | Role | Address |
|---|---|---|
| WILSON WADE J | Secretary | 1124 E Yonge St, Pensacola, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| WILSON WADE J | Treasurer | 1124 E Yonge St, Pensacola, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 1124 E Yonge St, Pensacola, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-17 | 1124 E Yonge St, Pensacola, FL 32503 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-17 | 1124 E Yonge St, Pensacola, FL 32503 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-09 |
| Domestic Profit | 2022-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
