| Entity Name: | COMPLETE HOME CARE OF THE PALM BEACHES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Mar 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Oct 2024 (3 months ago) |
| Document Number: | L10000030158 |
| FEI/EIN Number | 29-9993736 |
| Address: | 4010 S 57TH STREET, SUITE 201, LAKE WORTH, FL 33463 |
| Mail Address: | 5601 Executive Dr., SUITE 250, Dallas, TX 75038 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043535040 | 2010-04-01 | 2022-02-01 | 5601 EXECUTIVE DR STE 250, IRVING, TX, 750382508, US | 6853 SW 18TH ST STE 210, BOCA RATON, FL, 334337056, US | |||||||||||||||||||||||
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| Phone | +1 972-677-3499 |
| Phone | +1 561-750-4502 |
| Fax | 5617504503 |
Authorized person
| Name | MR. DEAN ALVERSON |
| Role | CEO |
| Phone | 4044087096 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 19966678 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMPLETE HOME CARE OF THE PALM 401(K) PROFIT SHARING PLAN AND TRUST | 2018 | 272141803 | 2019-05-07 | COMPLETE HOME CARE OF THE PALM BEACHES, LLC | 2 | |||||||||||||||||||||||
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| COMPLETE HOME CARE OF THE PALM 401(K) PROFIT SHARING PLAN AND TRUST | 2017 | 272141803 | 2018-05-21 | COMPLETE HOME CARE OF THE PALM BEACHES, LLC | 47 | |||||||||||||||||||||||
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| COMPLETE HOME CARE OF THE PALM 401(K) PROFIT SHARING PLAN AND TRUST | 2016 | 272141803 | 2017-05-26 | COMPLETE HOME CARE OF THE PALM BEACHES, LLC | 27 | |||||||||||||||||||||||
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| COMPLETE HOME CARE OF THE PALM 401(K) PROFIT SHARING PLAN AND TRUST | 2015 | 272141803 | 2016-10-17 | COMPLETE HOME CARE OF THE PALM BEACHES, LLC | 28 | |||||||||||||||||||||||
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| COMPLETE HOME CARE OF THE PALM 401(K) PROFIT SHARING PLAN AND TRUST | 2015 | 272141803 | 2017-05-26 | COMPLETE HOME CARE OF THE PALM BEACHES, LLC | 28 | |||||||||||||||||||||||
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| COMPLETE HOME CARE OF THE PALM 401(K) PROFIT SHARING PLAN AND TRUST | 2014 | 272141803 | 2015-10-01 | COMPLETE HOME CARE OF THE PALM BEACHES, LLC | 16 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-01 |
| Name of individual signing | JASON DYNAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| LIFECARE FLORIDA HOLDINGS, LLC | Authorized Member | 5601 Executive Dr., SUITE 250 Dallas, TX 75038 |
| Name | Role | Address |
|---|---|---|
| Alverson, Dean | President | 5601 EXECUTIVE DRIVE, STE 250 IRVING, TX 75038 |
| Name | Role | Address |
|---|---|---|
| Alverson, Dean | Chief Executive Officer | 5601 EXECUTIVE DRIVE, STE 250 IRVING, TX 75038 |
| Name | Role | Address |
|---|---|---|
| FUNSTON, JONATHAN GEORGE | Secretary | 5601 EXECUTIVE DRIVE, STE 250 IRVING, TX 75038 |
| Name | Role | Address |
|---|---|---|
| FUNSTON, JONATHAN GEORGE | Treasurer | 5601 EXECUTIVE DRIVE, STE 250 IRVING, TX 75038 |
| Name | Role | Address |
|---|---|---|
| FUNSTON, JONATHAN GEORGE | Chief Financial Officer | 5601 EXECUTIVE DRIVE, STE 250 IRVING, TX 75038 |
| Name | Role | Address |
|---|---|---|
| Cowling, Tonya | Authorized Representative | 5601 EXECUTIVE DRIVE, STE 250 IRVING, TX 75038 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000137108 | COMPLETE HOME CARE OF PORT ST. LUCIE | ACTIVE | 2024-11-08 | 2029-12-31 | No data | 5601 EXECUTIVE DR., SUITE 250, DALLAS, TX, 75038 |
| G22000139285 | COMPLETE HOME CARE | ACTIVE | 2022-11-08 | 2027-12-31 | No data | 6853 SW 18TH STREET, STE 210, BOCA RATON, FL, 33433 |
| G11000107089 | COMPLETE HOME CARE OF BROWARD COUNTY | EXPIRED | 2011-11-02 | 2016-12-31 | No data | 658 S. MILITARY TRAIL, DEERFIELD BEACH, FL, 33442 |
| G10000101005 | COMPLETE HOME CARE OF THE PALM BEACHES | EXPIRED | 2010-11-03 | 2015-12-31 | No data | 7301A WEST PALMETTO PARK ROAD, SUITE 301B, BOCA RATON, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-24 | 4010 S 57TH STREET, SUITE 201, LAKE WORTH, FL 33463 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-24 | CORPORATION SERVICE COMPANY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-01 | 4010 S 57TH STREET, SUITE 201, LAKE WORTH, FL 33463 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-01 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| LC AMENDMENT | 2016-12-30 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-24 |
| Reg. Agent Change | 2024-08-01 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-04-09 |
| AMENDED ANNUAL REPORT | 2017-08-23 |
| AMENDED ANNUAL REPORT | 2017-01-04 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
