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Hollandale Family Care, P.C.

Hollandale Family Care, P.C.

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Company Details

Name:	Hollandale Family Care, P.C.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	10 Nov 2005 (20 years ago)
Business ID:	881344
ZIP code:	38701
County:	Washington
State of Incorporation:	MISSISSIPPI
Principal Office Address:	1417 Trailwood Drive Suite G-2Greenville, MS 38701

Agent

Name	Role	Address
Rounsavall, David S	Agent	353 W Reed Rd, Greenville, MS 38701

Incorporator

Name	Role	Address
David S Rounsavall	Incorporator	128 S Poplar Street, Greenville, MS 38701

President

Name	Role	Address
John L Herzog, MD	President	1417 Trailwood Drive Ste G-2, Greenville, MS 38701

Director

Name	Role	Address
John L Herzog, MD	Director	1417 Trailwood Drive Ste G-2, Greenville, MS 38701

National Provider Identifier

NPI Number:

1790237345

Link:

View on NPI website

Authorized Person:

Name:

MR. STANLEY J MCGAUGH

Role:

OFFICE MANAGER

Phone:

6623350183

Taxonomy:

Selected Taxonomy:

363LF0000X - Family Nurse Practitioner

Is Primary:

Yes

Contacts:

Phone:

+1 662-827-2214

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-01-10	Annual Report For Hollandale Family Care, P.C.
Reinstatement	Filed	2024-04-26	Reinstatement For Hollandale Family Care, P.C.
Admin Dissolution	Filed	2024-01-05	Action of Intent to Dissolve: AR: Hollandale Family Care, P.C.
Notice to Dissolve/Revoke	Filed	2023-09-08	Notice of Intent to Dissolve: AR: Hollandale Family Care, P.C.
Reinstatement	Filed	2022-09-27	Reinstatement For Hollandale Family Care, P.C.
Admin Dissolution	Filed	2021-11-29	Action of Intent to Dissolve: AR: Hollandale Family Care, P.C.
Notice to Dissolve/Revoke	Filed	2021-09-07	Notice of Intent to Dissolve: AR: Hollandale Family Care, P.C.
Reinstatement	Filed	2020-10-22	Reinstatement For Hollandale Family Care, P.C.
Admin Dissolution	Filed	2019-11-22	Admin Dissolution: AR
Notice to Dissolve/Revoke	Filed	2019-08-22	Notice to Dissolve/Revoke

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$94,150

Date Approved:

2021-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$94,150

Race:

White

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$94,598.82

Servicing Lender:

Planters Bank & Trust Company

Use of Proceeds:

Payroll: $94,145
Utilities: $1