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MiCare, LLC

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Company Details

Name: MiCare, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 02 Jul 2020 (5 years ago)
Business ID: 1220625
ZIP code: 39046
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 152 WATFORD PARKWAY DRIVE, SUITE 202CANTON, MS 39046

Agent

Name Role Address
Justin Daniels Agent 152 Watford Parkway Drive, Suite 202, Canton, MS 39046

Organizer

Name Role Address
James C Reeves Organizer 1704 North State Street, Jackson, MS 39202

Member

Name Role Address
JUSTIN DANIELS Member 551 VIRLILIA ROAD, CANTON, MS 39046

National Provider Identifier

NPI Number:
1154090157
Certification Date:
2021-09-13

Authorized Person:

Name:
WILL MOON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: MiCare, LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: MiCare, LLC
Annual Report LLC Filed 2023-07-13 Annual Report For MiCare, LLC
Annual Report LLC Filed 2022-06-03 Annual Report For MiCare, LLC
Annual Report LLC Filed 2021-09-14 Annual Report For MiCare, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: MiCare, LLC
Formation Form Filed 2020-07-02 Formation For MiCare, LLC

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Date of last update: 23 May 2025

Sources: Company Profile on Mississippi Secretary of State Website