| Entity Name: | PELICAN HOME HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Mar 2016 (9 years ago) |
| Document Number: | L16000059704 |
| FEI/EIN Number | 81-1987059 |
| Address: | 7270 NW 12TH STREET, MIAMI, FL, 33126, US |
| Mail Address: | 7270 NW 12TH STREET, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649721036 | 2016-10-20 | 2016-10-20 | 80 SW 8TH ST, SUITE 2000, MIAMI, FL, 331303003, US | 80 SW 8TH ST, SUITE 2000, MIAMI, FL, 331303003, US | |||||||||||||||||
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| Phone | +1 305-697-9722 |
Authorized person
| Name | KENT KNAUTZ |
| Role | PRESIDENT |
| Phone | 3056979722 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994601 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIGHT AT HOME 401(K) PLAN | 2023 | 811987059 | 2024-07-23 | PELICAN HOME HEALTH, LLC | 39 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3056979722 |
| Plan sponsor’s address | 7270 NW 12TH STREET, SUITE 700, MIAMI, FL, 33126 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-21 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3056979722 |
| Plan sponsor’s address | 7270 NW 12TH STREET, SUITE 700, MIAMI, FL, 33126 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-19 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GRIER REID | Agent | 7270 NW 12TH STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| Grier Reid | Manager | 7270 NW 12th St, Miami, FL, 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000039677 | RIGHT AT HOME | ACTIVE | 2016-04-19 | 2026-12-31 | No data | 7270 NW 12TH ST, SUITE 700, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-04-01 | GRIER, REID | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-11 | 7270 NW 12TH STREET, SUITE 700, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-11 | 7270 NW 12TH STREET, SUITE 700, MIAMI, FL 33126 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-08-24 | 7270 NW 12TH STREET, SUITE 700, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-13 |
| Florida Limited Liability | 2016-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
