| Entity Name: | PALM BEACH HOME CARE AGENCY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PALM BEACH HOME CARE AGENCY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 10 Jun 2003 (22 years ago) |
| Date of dissolution: | 13 Jun 2014 (11 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jun 2014 (11 years ago) |
| Document Number: | L03000020781 |
| FEI/EIN Number |
201129215
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1700 N DIXIE HIGHWAY, SUITE 148, BOCA RATON, FL, 33432 |
| Mail Address: | 1700 N DIXIE HIGHWAY, SUITE 148, BOCA RATON, FL, 33432 |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184992802 | 2011-12-08 | 2012-01-19 | 1700 N DIXIE HWY STE 148, BOCA RATON, FL, 334321808, US | 1700 N DIXIE HWY STE 148, BOCA RATON, FL, 334321808, US | |||||||||||||||||||||||||
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| Phone | +1 561-338-7775 |
| Fax | 5613386177 |
Authorized person
| Name | MRS. MARTHA TOVAR COSTON |
| Role | ADMINISTRATOR |
| Phone | 5613387775 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 228299 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 6861903 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COSTON MARTHA T | Manager | 1700 N DIXIE HIGHWAY STE.148, BOCA RATON,, FL, 33432 |
| COSTON MARTHA T | Agent | 1700 N DIXIE HIGHWAY, BOCA RATON, FL, 33432 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000174698 | PALM BEACH HOME CARE | EXPIRED | 2009-11-12 | 2014-12-31 | - | 2499 GLADES RD., SUITE 105, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2014-06-13 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-07 | 1700 N DIXIE HIGHWAY, SUITE 148, BOCA RATON, FL 33432 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-12-14 | 1700 N DIXIE HIGHWAY, SUITE 148, BOCA RATON, FL 33432 | - |
| CHANGE OF MAILING ADDRESS | 2011-12-14 | 1700 N DIXIE HIGHWAY, SUITE 148, BOCA RATON, FL 33432 | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2014-06-13 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-02-07 |
| ANNUAL REPORT | 2011-12-14 |
| ANNUAL REPORT | 2011-02-15 |
| ANNUAL REPORT | 2010-01-28 |
| ANNUAL REPORT | 2009-02-21 |
| ANNUAL REPORT | 2008-01-24 |
| ANNUAL REPORT | 2007-04-28 |
| ANNUAL REPORT | 2006-01-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
