| Entity Name: | TRADITIONAL HOME HEALTH OF PALM BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Mar 1984 (41 years ago) |
| Document Number: | G89315 |
| FEI/EIN Number | 592389118 |
| Address: | 171 MONROE LANE, LEXINGTON, SC, 29072, US |
| Mail Address: | 171 MONROE LANE, LEXINGTON, SC, 29072, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942253976 | 2006-05-19 | 2021-04-15 | PO BOX 1928, LEXINGTON, SC, 290711928, US | 2221 LEE RD, SUITE 28, WINTER PARK, FL, 327891864, US | |||||||||||||||||||||||
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| Phone | +1 803-957-0500 |
| Fax | 8883426190 |
| Phone | +1 407-539-0535 |
| Fax | 4075390651 |
Authorized person
| Name | MRS. CHRISTINA M JEFFCOAT |
| Role | VICE PRESIDENT |
| Phone | 8039570500 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994224 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Stewart Timothy | Auth | 171 MONROE LANE, LEXINGTON, SC, 29072 |
| Name | Role | Address |
|---|---|---|
| YOUNG RONNIE L | President | 171 MONROE LANE, LEXINGTON, SC, 29072 |
| Name | Role | Address |
|---|---|---|
| JEFFCOAT WAYNE | Vice President | 171 MONROE LANE, LEXINGTON, SC, 29072 |
| JEFFCOAT CHRISTY | Vice President | 171 MONROE LANE, LEXINGTON, SC, 29072 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000078392 | MEDICAL SERVICES OF AMERICA HOME HEALTH | ACTIVE | 2013-08-06 | 2028-12-31 | No data | PO BOX 609, ATTN: LICENSING, LEXINGTON, SC, 29071 |
| G13000078394 | MSA HOME HEALTH | EXPIRED | 2013-08-06 | 2018-12-31 | No data | POST OFFICE BOX 2431, LEXINGTON, SC, 29071 |
| G97115000033 | COMMUNITY HOME HEALTH SERVICES | ACTIVE | 1997-04-25 | 2028-12-31 | No data | PO BOX 609, LEXINGTON, SC, 29071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2014-06-30 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
