| Entity Name: | CAMELOT HEALTHCARE MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CAMELOT HEALTHCARE MANAGEMENT, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Nov 1998 (27 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | P98000093195 |
| FEI/EIN Number |
650885369
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3381 Us Highway 17 92 West, Haines City, FL, 33844, US |
| Mail Address: | 3363 Us Highway 17 92 West, Haines City, FL, 33844, US |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720073679 | 2005-09-16 | 2018-01-26 | 3381 US HIGHWAY 17-92 WEST, HAINES CITY, FL, 33844, US | 3381 US HIGHWAY 17-92 WEST, HAINES CITY, FL, 33844, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 863-293-6533 |
| Fax | 8632934722 |
Authorized person
| Name | MR. ANGEL ARCIENO |
| Role | PRESIDENT |
| Phone | 3056325834 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | HME909 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | HME909 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025377400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Arciero Angel | Director | 3363 US Highway 17 92 W, Haines City, FL, 33844 |
| GOSS PHILIP E | Agent | 1172 S DIXIE HWY., CORAL GABLES, FL, 33146 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-04-13 | 3381 Us Highway 17 92 West, Haines City, FL 33844 | - |
| REINSTATEMENT | 2020-02-21 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-21 | 3381 Us Highway 17 92 West, Haines City, FL 33844 | - |
| REGISTERED AGENT NAME CHANGED | 2020-02-21 | GOSS, PHILIP EJR | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-13 |
| REINSTATEMENT | 2020-02-21 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-04-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7682478610 | 2021-03-24 | 0455 | PPS | 3381 US Highway 17 92 W, Haines City, FL, 33844-8818 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2026587208 | 2020-04-15 | 0455 | PPP | 8220 SW 56 STREET, MIAMI, FL, 33155 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
