| Entity Name: | PROFESSIONAL CARE COORDINATORS "LLC" |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 May 2016 (9 years ago) |
| Document Number: | L16000086596 |
| FEI/EIN Number | 81-2703630 |
| Address: | 2240 Palm Beach Lakes Blvd, West Palm Beach, FL, 33409, US |
| Mail Address: | 2240 Palm Beach Lakes Blvd., West Palm Beach, FL, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235678947 | 2017-02-14 | 2017-02-14 | 13953 EXOTICA LN, WELLINGTON, FL, 334148182, US | 13953 EXOTICA LN, WELLINGTON, FL, 334148182, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-506-0970 |
Authorized person
| Name | NATHANAELLE DESRIVIERES |
| Role | ADMINISTRATOR |
| Phone | 5615060970 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 234662 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DESRIVIERES NATHANAELLE | Agent | 13953 EXOTICA LANE, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| DESRIVIERES NATHANAELLE | Manager | 13953 EXOTICA LANE, WELLINGTON, FL, 33414 |
| RANGE-LEWIS WILLA | Manager | 6510 EMERALD DUNES DRIVE #305, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-09 | 2240 Palm Beach Lakes Blvd, Suite 400 P, West Palm Beach, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-09 | 2240 Palm Beach Lakes Blvd, Suite 400 P, West Palm Beach, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-23 | 2240 Palm Beach Lakes Blvd, #400P, West Palm Beach, FL 33409 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-30 | 2240 Palm Beach Lakes Blvd, #400P, West Palm Beach, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-15 |
| AMENDED ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2020-03-15 |
| ANNUAL REPORT | 2019-02-23 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
