| Entity Name: | ADVANTAGE HOME MEDICAL EQUIPMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Feb 1997 (28 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P97000015781 |
| FEI/EIN Number | 59-3441440 |
| Address: | 605 HIGHWAY 41 NW, JASPER, FL 32052 |
| Mail Address: | P.O. BOX 369, JASPER, FL 32052 |
| ZIP code: | 32052 |
| County: | Hamilton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104820844 | 2005-06-10 | 2009-11-19 | PO BOX 369, JASPER, FL, 320520369, US | 605 HWY 41 NW, JASPER, FL, 32052, US | |||||||||||||||||||||||||||||||
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| Phone | +1 386-792-2224 |
| Fax | 3867922244 |
Authorized person
| Name | MRS. MARTHA W BUTLER |
| Role | MANAGER |
| Phone | 3867922224 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 1175 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | R8968 |
| State | FL |
| Issuer | MEDICAID |
| Number | 951940800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUTLER, WILLIE I | Agent | 1309 PLUM STREET, JENNINGS, FL 32053 |
| Name | Role | Address |
|---|---|---|
| BUTLER, WILLIE I | President | 1309 PLUM STREET, JENNINGS, FL 32053 |
| Name | Role | Address |
|---|---|---|
| BUTLER, SUE | Secretary | HWY 129 S., STATEVILLE, GA |
| Name | Role | Address |
|---|---|---|
| BUTLER, SUE | Treasurer | HWY 129 S., STATEVILLE, GA |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-03 | 605 HIGHWAY 41 NW, JASPER, FL 32052 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-06 | 1309 PLUM STREET, JENNINGS, FL 32053 | No data |
| CHANGE OF MAILING ADDRESS | 2002-01-09 | 605 HIGHWAY 41 NW, JASPER, FL 32052 | No data |
| REINSTATEMENT | 2000-03-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2000-03-23 | BUTLER, WILLIE I | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-30 |
| ANNUAL REPORT | 2008-04-03 |
| ANNUAL REPORT | 2007-03-02 |
| ANNUAL REPORT | 2006-02-20 |
| ANNUAL REPORT | 2005-01-03 |
| ANNUAL REPORT | 2004-01-05 |
| ANNUAL REPORT | 2003-01-06 |
| ANNUAL REPORT | 2002-01-09 |
| ANNUAL REPORT | 2001-01-16 |
| REINSTATEMENT | 2000-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
