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LEGACY HEALTHCARE SERVICES, INC. - Florida Company Profile

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Company Details

Entity Name: LEGACY HEALTHCARE SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 23 Feb 2015 (10 years ago)
Document Number: F15000000757
FEI/EIN Number 311679605
Address: 110 HORIZON DRIVE, SUITE 310, RALEIGH, NC, 27615, US
Mail Address: 110 HORIZON DRIVE, SUITE 310, RALEIGH, NC, 27615, US
Place of Formation: OHIO

Key Officers & Management

Name Role Address
- Agent -
WILSON GIL Chief Financial Officer 110 HORIZON DRIVE, RALEIGH, NC, 27615
ELENBAAS DEREK CONT 110 HORIZON DRIVE, RALEIGH, NC, 27615
RYAN JEFFREY Chief Executive Officer 110 HORIZON DRIVE, RALEIGH, NC, 27615
Murta John Director 615 Elsinore Place, Cincinnati, OH, 45202

National Provider Identifier

NPI Number:
1760223861
Certification Date:
2024-06-03

Authorized Person:

Name:
MR. WILLIAM G WILSON JR.
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-27 2894 REMINGTON GREEN LANE, SUITE A, TALLAHASSEE, FL 32308 -
CHANGE OF PRINCIPAL ADDRESS 2021-06-21 110 HORIZON DRIVE, SUITE 310, RALEIGH, NC 27615 -
CHANGE OF MAILING ADDRESS 2021-06-21 110 HORIZON DRIVE, SUITE 310, RALEIGH, NC 27615 -

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-01-21

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Date of last update: 03 Aug 2025

Sources: Florida Department of State