| Entity Name: | AGNITUS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 May 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Mar 2019 (6 years ago) |
| Document Number: | L15000084859 |
| FEI/EIN Number | 47-3987771 |
| Address: | 1153 HELMSDALE DR, WESLEY CHAPEL, FL 33543 |
| Mail Address: | 1153 HELMSDALE DR, WESLEY CHAPEL, FL 33543 |
| ZIP code: | 33543 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326427725 | 2015-05-19 | 2016-03-23 | 16350 BRUCE B DOWNS BLVD, SUITE 46124, TAMPA, FL, 336469001, US | 1153 HELMSDALE DR, WESLEY CHAPEL, FL, 335433914, US | |||||||||||||||||||||||||
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| Phone | +1 813-309-9398 |
| Fax | 8133334240 |
Authorized person
| Name | ROSE MARY LOPEZ |
| Role | CLINICAL DIRECTOR |
| Phone | 8134311153 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | SA2364 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 892070200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ, ROSE M | Agent | 1153 HELMSDALE DR, WESLEY CHAPEL, FL 33543 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, ROSE M | Manager | 1153 HELMSDALE DR, WESLEY CHAPEL, FL 33543 |
| LOPEZ, MANUEL G | Manager | 1153 HELMSDALE DR, WESLEY CHAPEL, FL 33543 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-03-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-08-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-08-01 | LOPEZ, ROSE M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-23 |
| REINSTATEMENT | 2019-03-16 |
| REINSTATEMENT | 2017-08-01 |
| Florida Limited Liability | 2015-05-13 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
