| Entity Name: | ACTIVA HOMECARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ACTIVA HOMECARE, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 02 Mar 2012 (13 years ago) |
| Document Number: | L12000030389 |
| FEI/EIN Number |
45-4720451
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1501 CORPORATE DRIVE, BOYNTON BEACH, FL, 33426, US |
| Mail Address: | 1501 CORPORATE DRIVE, BOYNTON BEACH, FL, 33426, US |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | ACTIVA HOMECARE, LLC, CONNECTICUT | 2724314 | CONNECTICUT |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891043527 | 2012-08-28 | 2017-01-10 | 1501 CORPORATE DR, SUITE 270, BOYNTON BEACH, FL, 334266600, US | 5850 CORAL RIDGE DR, 105, CORAL SPRINGS, FL, 330763378, US | |||||||||||||||||||
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| Phone | +1 954-907-1800 |
| Fax | 5612077781 |
| Phone | +1 954-344-1761 |
| Fax | 9546882958 |
Authorized person
| Name | MR. JONATHAN FEDELE |
| Role | CEO |
| Phone | 5618190460 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ballew Brandon | Chief Executive Officer | 1501 CORPORATE DRIVE, BOYNTON BEACH, FL, 33426 |
| Isbell Tasha | Chief Financial Officer | 1501 CORPORATE DRIVE,, BOYNTON BEACH, FL, 33426 |
| Ballew Brandon | Agent | 1501 CORPORATE DRIVE, BOYNTON BEACH, FL, 33426 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000023905 | ACTIVA HOMECARE | EXPIRED | 2012-03-08 | 2017-12-31 | - | 1800 W. WOOLBRIGHT ROAD, SUITE 200, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-31 | Ballew, Brandon | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-08 | 1501 CORPORATE DRIVE, SUITE 260, BOYNTON BEACH, FL 33426 | - |
| CHANGE OF MAILING ADDRESS | 2017-02-13 | 1501 CORPORATE DRIVE, SUITE 260, BOYNTON BEACH, FL 33426 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-13 | 1501 CORPORATE DRIVE, SUITE 260, BOYNTON BEACH, FL 33426 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-01-25 |
| AMENDED ANNUAL REPORT | 2021-12-02 |
| AMENDED ANNUAL REPORT | 2021-11-22 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-08 |
| AMENDED ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2018-03-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8939828402 | 2021-02-14 | 0455 | PPP | 2416 NE 3rd St, Boynton Beach, FL, 33435-2107 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8217447005 | 2020-04-08 | 0455 | PPP | 1501 Corporate Blvd., BOYNTON BEACH, FL, 33426 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
