| Entity Name: | ENVISTA HEALTH, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Nov 2012 (12 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 18 Mar 2019 (6 years ago) |
| Document Number: | L12000144758 |
| FEI/EIN Number | 46-1655578 |
| Mail Address: | 1133 Louisiana Ave, Winter Park, FL, 32789, US |
| Address: | 1133 LOUISIANA AVE, WINTER PARK, FL, 32789, US |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144625252 | 2014-10-31 | 2014-10-31 | 1810 W KENNEDY BLVD, TAMPA, FL, 336061645, US | 1133 LOUISIANA AVE, SUITE 112, WINTER PARK, FL, 327892343, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-252-2224 |
| Phone | +1 407-637-2981 |
Authorized person
| Name | MS. CHERYL A HAMILTON |
| Role | PRESIDENT/CEO |
| Phone | 8132522224 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 30211637 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | 30211637 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 30211637 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012169200 |
| State | FL |
| Issuer | AHCA LICENSE |
| Number | 30211637 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Wolfe James | Agent | 920 Emerson Drive, Dunedin, FL, 34698 |
| Name | Role |
|---|---|
| CK ENDEAVORS LLC | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000006845 | ENVISTA HEALTH | EXPIRED | 2013-01-19 | 2018-12-31 | No data | 1810 W. KENNEDY BLVD, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-05-29 | Wolfe, James | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-29 | 920 Emerson Drive, Dunedin, FL 34698 | No data |
| LC DISSOCIATION MEM | 2019-03-18 | No data | No data |
| REINSTATEMENT | 2017-10-09 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-09 | 1133 LOUISIANA AVE, STE 112, WINTER PARK, FL 32789 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-31 | 1133 LOUISIANA AVE, STE 112, WINTER PARK, FL 32789 | No data |
| LC AMENDMENT | 2013-03-12 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000435935 | ACTIVE | 1000000932230 | HILLSBOROU | 2022-08-30 | 2032-09-14 | $ 1,038.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-26 |
| CORLCDSMEM | 2019-03-18 |
| ANNUAL REPORT | 2018-04-24 |
| REINSTATEMENT | 2017-10-09 |
| ANNUAL REPORT | 2016-06-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
