| Entity Name: | ABC HOME CARE FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Jan 2015 (10 years ago) |
| Date of dissolution: | 12 Dec 2023 (a year ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Dec 2023 (a year ago) |
| Document Number: | L15000009846 |
| FEI/EIN Number | 47-2843836 |
| Address: | 1434 Brian Way, West Palm Beach, FL, 33417, US |
| Mail Address: | 1434 Brian Way, West Palm Beach, FL, 33417, US |
| ZIP code: | 33417 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003283375 | 2015-08-21 | 2015-08-21 | 301 MULBERRY GROVE RD, ROYAL PALM BEACH, FL, 334114500, US | 301 MULBERRY GROVE RD, ROYAL PALM BEACH, FL, 334114500, US | |||||||||||||||||||||||||
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| Phone | +1 561-317-4752 |
| Fax | 5617957391 |
Authorized person
| Name | MRS. MARTINE JEAN |
| Role | OWNER |
| Phone | 5613174752 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| License Number | RN 9184296 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 599077 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Jean-Paul Martine | Agent | 1434 Brian Way, West Palm Beach, FL, 33417 |
| Name | Role | Address |
|---|---|---|
| Jean-Paul Martine W | Manager | 1434 Brian Way, Royal Palm Beach, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| Jean Zachary J | Auth | 1434 Brian Way, West Palm Beach, FL, 33417 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2023-12-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-19 | 1434 Brian Way, West Palm Beach, FL 33417 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-19 | 1434 Brian Way, West Palm Beach, FL 33417 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-19 | Jean-Paul, Martine | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-19 | 1434 Brian Way, West Palm Beach, FL 33417 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2023-12-12 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-03-29 |
| AMENDED ANNUAL REPORT | 2020-08-05 |
| ANNUAL REPORT | 2020-03-01 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
