| Entity Name: | ENTRUST HOME HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Mar 2016 (9 years ago) |
| Document Number: | L16000051628 |
| FEI/EIN Number | 811846272 |
| Address: | 4781 N. Congress Ave, Boynton Beach, FL, 33426, US |
| Mail Address: | 4781 N Congress Ave, BOYNTON BECH, FL, 33426, US |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417501891 | 2019-07-24 | 2020-08-27 | 6535 SE FEDERAL HWY APT 204, STUART, FL, 349978380, US | 6535 SE FEDERAL HWY APT 204, STUART, FL, 349978380, US | |||||||||||||||||||
|
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| Phone | +1 772-233-7632 |
Authorized person
| Name | HELENA MENSAH |
| Role | OWNER/DIRECTOR |
| Phone | 7722337632 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016986700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MENSAH HELENA M | Agent | 4781 N Congress Ave #2116, Boynton Beach, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| SPANN-METTERS LUCERCHIA R | Auth | 888 Blvd of the Arts, Sarasota, FL, 34236 |
| Name | Role | Address |
|---|---|---|
| Mensah Helena | Manager | 4781 N Congress Ave #2116, Boynton Beach, FL, 33426 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000161845 | ENTRUST STAFFING | ACTIVE | 2020-12-21 | 2025-12-31 | No data | 2500 QUANTUM LAKES DR, SUITE 203, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-16 | 4781 N. Congress Ave, Suite 2116, Boynton Beach, FL 33426 | No data |
| CHANGE OF MAILING ADDRESS | 2023-12-11 | 4781 N. Congress Ave, Suite 2116, Boynton Beach, FL 33426 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-13 | 4781 N Congress Ave #2116, Boynton Beach, FL 33426 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-07-02 |
| AMENDED ANNUAL REPORT | 2021-09-13 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-03-06 |
| Florida Limited Liability | 2016-03-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
