| Entity Name: | LIFE CARE DIABETIC SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LIFE CARE DIABETIC SUPPLIES, 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: | 23 Aug 1999 (26 years ago) |
| Date of dissolution: | 23 Dec 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Dec 2014 (10 years ago) |
| Document Number: | P99000076276 |
| FEI/EIN Number |
650943447
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 840 JUPITER PARK DRIVE, SUITE 101, JUPITER, FL, 33458, US |
| Mail Address: | PO BOX 641, JUPITER, FL, 33468 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1689621393 | 2006-05-28 | 2014-06-30 | PO BOX 641, JUPITER, FL, 334680641, US | 840 JUPITER PARK DR, SUITE 101, JUPITER, FL, 334588947, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-745-7338 |
| Fax | 5614276427 |
| Phone | +1 561-745-7335 |
Authorized person
| Name | MRS. BIBY DAVILA JACOBY |
| Role | PRESIDENT |
| Phone | 5617457338 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1312919 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 567602 |
| State | IA |
| Issuer | MEDICAID |
| Number | 000326697C |
| State | GA |
| Issuer | MEDICAID |
| Number | 90011446 |
| State | KY |
| Issuer | MEDICAID |
| Number | 143776601 |
| State | TX |
| Issuer | MEDICAID |
| Number | 200304520A |
| State | KS |
| Issuer | MEDICAID |
| Number | 200008430A |
| State | OK |
| Issuer | MEDICAID |
| Number | 9982460 |
| State | AL |
| Issuer | MEDICAID |
| Number | 7821760 |
| State | NM |
| Issuer | MEDICAID |
| Number | 845265155 |
| State | ID |
| Issuer | HME LICENSE |
| Number | 1312919 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1469017 |
| State | LA |
| Issuer | MEDICAID |
| Number | 031242800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 401094900 |
| State | MD |
| Issuer | MEDICAID |
| Number | 443086700 |
| State | MI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFE CARE 401(K) | 2012 | 650943447 | 2013-09-18 | LIFE CARE DIABETIC SUPPLIES, INC | 15 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-09-18 |
| Name of individual signing | SARA LASSANDRO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JACOBY BIBY D | President | 840 JUPITER PARK DR, SUITE 101, JUPITER, FL, 33458 |
| WOODARD JOLIE Y | OPER | 840 JUPITER PARK DR, SUITE 101, JUPITER, FL, 33458 |
| JACOBY BIBY D | Agent | 840 JUPITER PARK DRIVE, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000120555 | LIFE CARE UROLOGICAL | EXPIRED | 2013-12-10 | 2018-12-31 | - | P.O. BOX 641, JUPITER, FL, 33468 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-24 | 840 JUPITER PARK DRIVE, SUITE 101, JUPITER, FL 33458 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-24 | 840 JUPITER PARK DRIVE, SUITE 101, JUPITER, FL 33458 | - |
| CHANGE OF MAILING ADDRESS | 2005-04-29 | 840 JUPITER PARK DRIVE, SUITE 101, JUPITER, FL 33458 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-23 |
| ANNUAL REPORT | 2014-02-24 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-16 |
| ANNUAL REPORT | 2011-12-02 |
| ANNUAL REPORT | 2011-02-04 |
| ANNUAL REPORT | 2010-03-02 |
| ANNUAL REPORT | 2009-04-13 |
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-01-02 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
