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CORAM HEALTHCARE CORPORATION OF SOUTHERN FLORIDA - Florida Company Profile

Company Details

Entity Name: CORAM HEALTHCARE CORPORATION OF SOUTHERN FLORIDA
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 09 Sep 1991 (34 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 17 Jan 1995 (30 years ago)
Document Number: P35437
FEI/EIN Number 58-1949686

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: One CVS Drive, Woonsocket, RI, 02895, US
Mail Address: One CVS Drive, Woonsocket, RI, 02895, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Moffatt Thomas S Vice President One CVS Drive, Woonsocket, RI, 02895
St Angelo Melanie K Assi One CVS Drive, Woonsocket, RI, 02895
DeSousa Kimberley M Assi One CVS Drive, Woonsocket, RI, 02895
Moffatt Thomas S Director One CVS Drive, Woonsocket, RI, 02895
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
Cole Joshua C Assi One CVS Drive, Woonsocket, RI, 02895
Smith Joshua S Assi One CVS Drive, Woonsocket, RI, 02895

National Provider Identifier

NPI Number:
1053365544
Certification Date:
2022-12-29

Authorized Person:

Name:
TRICIA LACAVICH
Role:
PRESADENT
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
251F00000X - Home Infusion Agency
Is Primary:
Yes
Selected Taxonomy:
3336H0001X - Home Infusion Therapy Pharmacy
Is Primary:
No

Contacts:

Fax:
4017330211

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000057758 CORAM CVS/SPECIALTY INFUSION SERVICES #48095 ACTIVE 2017-05-24 2027-12-31 - 12006 MIRAMAR PARKWAY, MIRAMAR, FL, 33025
G14000016568 CORAM SPECIALITY INFUSION SERVICES,A CVS CAREMARK COMPANY EXPIRED 2014-02-17 2019-12-31 - 555 17TH STREET,SUITE 1500, DENVER, CO, 80202

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-01 One CVS Drive, Woonsocket, RI 02895 -
CHANGE OF MAILING ADDRESS 2024-04-01 One CVS Drive, Woonsocket, RI 02895 -
REGISTERED AGENT NAME CHANGED 2016-10-24 CT CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2016-10-24 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
NAME CHANGE AMENDMENT 1995-01-17 CORAM HEALTHCARE CORPORATION OF SOUTHERN FLORIDA -

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-28
Reg. Agent Change 2016-10-24
ANNUAL REPORT 2016-01-07

Date of last update: 03 May 2025

Sources: Florida Department of State