| Entity Name: | NEVAEH HEALTHCARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Sep 2010 (14 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L10000100627 |
| FEI/EIN Number | 273542096 |
| Address: | 4615 SW 25 STREET, HOLLYWOOD, FL, 33023 |
| Mail Address: | 4615 SW 25 STREET, HOLLYWOOD, FL, 33023 |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902213226 | 2014-07-18 | 2014-07-18 | 4615 SW 25TH ST, WEST PARK, FL, 330234305, US | 4615 SW 25TH ST, WEST PARK, FL, 330234305, US | |||||||||||||||||||||||
|
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| Phone | +1 954-629-8712 |
Authorized person
| Name | NICKEITA RODRIGUEZ |
| Role | MGRM |
| Phone | 9546298712 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 233608 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004149300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ Paul | Agent | 4615 SW 25 STREET, HOLLYWOOD, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ PAUL | Managing Member | 4615 SW 25 STREET, HOLLYWOOD, FL, 33023 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000046656 | NEVAEH LIFECARE SERVICES LLC | EXPIRED | 2014-05-13 | 2019-12-31 | No data | 4615 SW 25TH STREET, WEST PARK, FL, 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-07 | RODRIGUEZ, Paul | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-03-12 |
| ANNUAL REPORT | 2014-02-17 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
