| Entity Name: | BREVARD HMA HOME HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jul 2010 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 31 Oct 2024 (3 months ago) |
| Document Number: | L10000078578 |
| FEI/EIN Number | 27-3142265 |
| Address: | 901 Hugh Wallis Road South, Lafayette, LA 70508 |
| Mail Address: | 901 Hugh Wallis Road South, Lafayette, LA 70508 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366848020 | 2014-11-07 | 2017-01-07 | 9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY, 402234081, US | 989 SEBASTIAN BLVD, STE 101, SEBASTIAN, FL, 329584879, US | |||||||||||||||||||
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| Phone | +1 502-891-1187 |
| Fax | 5028918067 |
| Phone | +1 772-581-3181 |
| Fax | 7726639676 |
Authorized person
| Name | PATRICK TODD LYLES |
| Role | SR VICE PRESIDENT |
| Phone | 5028911044 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1554260 | 8060 SPYGLASS HILL ROAD, VIERA, FL, 32940 | 8060 SPYGLASS HILL ROAD, VIERA, FL, 32940 | 239-598-3131 | |||||||||||||||||||||||||
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| Form type | EFFECT |
| File number | 333-183203-47 |
| Filing date | 2012-08-30 |
| File | View File |
Filings since 2012-08-30
| Form type | 424B3 |
| File number | 333-183203-47 |
| Filing date | 2012-08-30 |
| File | View File |
Filings since 2012-08-10
| Form type | S-4 |
| File number | 333-183203-47 |
| Filing date | 2012-08-10 |
| File | View File |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Proffitt, Joshua L. | Manager | 901 Hugh Wallis Road South, Lafayette, LA 70508 |
| Name | Role | Address |
|---|---|---|
| AFAM HOLDING CO, LLC | Authorized Member | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA 70508 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000142755 | MEDERI CARETENDERS | ACTIVE | 2024-11-22 | 2029-12-31 | No data | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70505 |
| G20000158116 | WUESTHOFF HEALTH SYSTEM HOME HEALTH | ACTIVE | 2020-12-14 | 2025-12-31 | No data | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508 |
| G14000118560 | WUESTHOFF HEALTH SYSTEM HOME HEALTH | EXPIRED | 2014-11-25 | 2019-12-31 | No data | 8060 SPYGLASS HILL ROAD, VIERA, FL, 32940 |
| G14000118570 | SEBASTIAN RIVER HOME HEALTH | EXPIRED | 2014-11-25 | 2019-12-31 | No data | 8060 SPYGLASS HILL ROAD, VIERA, FL, 32940 |
| G14000118565 | WUESTHOFF HEALTH SYSTEM HOME HEALTH & HOSPICE | EXPIRED | 2014-11-25 | 2019-12-31 | No data | 8060 SPYGLASS HILL ROAD, VIERA, FL, 32940 |
| G10000090474 | WUESTHOFF BREVARD HOMECARE | EXPIRED | 2010-10-04 | 2015-12-31 | No data | 5811 PELICAN BAY BOULEVARD, SUITE 500, NAPLES, FL, 34108-2710 |
| G10000090475 | WUESTHOFF HOMECARE | EXPIRED | 2010-10-04 | 2015-12-31 | No data | 5811 PELICAN BAY BOULEVARD, SUITE 500, NAPLES, FL, 34108-2710 |
| G10000090473 | WUESTHOFF PRIVATE DUTY SERVICES | EXPIRED | 2010-10-04 | 2015-12-31 | No data | 5811 PELICAN BAY BOULEVARD, SUITE 500, NAPLES, FL, 34108-2710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-31 | No data | No data |
| LC STMNT OF RA/RO CHG | 2023-11-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-11-16 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-16 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-01 | 901 Hugh Wallis Road South, Lafayette, LA 70508 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-01 | 901 Hugh Wallis Road South, Lafayette, LA 70508 | No data |
| LC STMNT OF RA/RO CHG | 2017-03-02 | No data | No data |
| LC STMNT OF RA/RO CHG | 2014-02-25 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-31 |
| ANNUAL REPORT | 2024-04-25 |
| CORLCRACHG | 2023-11-16 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-26 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
