| Entity Name: | MCCOY CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Aug 1999 (25 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P99000074558 |
| FEI/EIN Number | 593592657 |
| Address: | 120 EAST 20TH AVENUE, MT DORA, FL, 32757, US |
| Mail Address: | 120 EAST 20TH AVENUE, MT DORA, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710232269 | 2012-07-20 | 2012-07-20 | 120 E 20TH AVE, MOUNT DORA, FL, 327572869, US | 120 E 20TH AVE, MOUNT DORA, FL, 327572869, US | |||||||||||||||||||||||||
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| Phone | +1 352-383-9770 |
| Fax | 3527351545 |
Authorized person
| Name | CASEY MCCOY |
| Role | PRESIDENT |
| Phone | 3525514322 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | 9069 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000972000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCOY BRIAN C | Agent | 120 EAST 20TH AVENUE, MT. DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| MCCOY BRIAN C | President | 22800 COUGAR COURT, SORRENTO, FL, 327767802 |
| Name | Role | Address |
|---|---|---|
| MCCOY BRIAN C | Treasurer | 22800 COUGAR COURT, SORRENTO, FL, 327767802 |
| Name | Role | Address |
|---|---|---|
| MCCOY KIMBERLY D | Vice President | 22800 COUGAR COURT, SORRENTO, FL, 327767802 |
| Name | Role | Address |
|---|---|---|
| MCCOY KIMBERLY D | Secretary | 22800 COUGAR COURT, SORRENTO, FL, 327767802 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-25 | MCCOY, BRIAN CASEY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-10 | 120 EAST 20TH AVENUE, MT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-10 | 120 EAST 20TH AVENUE, MT DORA, FL 32757 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-10 | 120 EAST 20TH AVENUE, MT. DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-06-13 |
| ANNUAL REPORT | 2011-04-16 |
| ANNUAL REPORT | 2010-05-03 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-04-25 |
| ANNUAL REPORT | 2007-04-10 |
| ANNUAL REPORT | 2006-04-20 |
| ANNUAL REPORT | 2005-04-22 |
| ANNUAL REPORT | 2004-01-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
