| Entity Name: | INTEGRITY HEALTH SERVICES ORLANDO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Nov 2014 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Mar 2021 (4 years ago) |
| Document Number: | L14000177089 |
| FEI/EIN Number | 47-2670608 |
| Mail Address: | 2999 N. 44th Street, Suite 100, Phoenix, AZ 85018 |
| Address: | 875 Concourse Parkway South, #135, Maitland, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619369089 | 2015-02-23 | 2023-09-20 | 2999 N 44TH ST STE 100, PHOENIX, AZ, 850187247, US | 875 CONCOURSE PKWY S STE 135, MAITLAND, FL, 327516147, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 480-618-5760 |
| Fax | 3219722930 |
| Phone | +1 407-956-1870 |
Authorized person
| Name | MR. MICHAEL LOVELL |
| Role | OWNER/VP |
| Phone | 4806185760 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | ORLANDO LLC |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016377100 |
| State | FL |
| Issuer | AHCA |
| Number | 299994402 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role |
|---|---|
| CR & RA INVESTMENTS, LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000118806 | TEAM SELECT HOME CARE | ACTIVE | 2023-09-26 | 2028-12-31 | No data | 2999 N 44TH STREET, SUITE 100, PHOENIX, AZ, 85018 |
| G21000079037 | TEAM SELECT HOME CARE | ACTIVE | 2021-06-14 | 2026-12-31 | No data | 2999 N 44TH ST,STE 100, PHOENIX, AZ, 85018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 875 Concourse Parkway South, #135, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 875 Concourse Parkway South, #135, Maitland, FL 32751 | No data |
| LC AMENDMENT | 2021-03-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-19 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-19 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-29 |
| LC Amendment | 2021-03-19 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-06 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
