| Entity Name: | LA MAJESTY HEALTH CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Sep 2016 (8 years ago) |
| Document Number: | L16000163967 |
| FEI/EIN Number | 81-3754978 |
| Address: | 1674 Pleasant Hills Road, KISSIMMEE, FL 34746 |
| Mail Address: | 1674 Pleasant Hills Road, KISSIMMEE, FL 34746 |
| ZIP code: | 34746 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093264202 | 2016-09-28 | 2021-05-13 | 1674 PLEASANT HILL RD, KISSIMMEE, FL, 347463954, US | 1674 PLEASANT HILL RD, KISSIMMEE, FL, 347463954, US | |||||||||||||||||||||||||
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| Phone | +1 407-350-4840 |
| Fax | 4073505806 |
Authorized person
| Name | WILLY NOEL |
| Role | MEDICAL DIRECTOR |
| Phone | 9514615981 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003817200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NOEL, WILLY | Agent | 3802 Golden Feather Way, KISSIMMEE, FL 34746 |
| Name | Role | Address |
|---|---|---|
| NOEL, WILLY | Authorized Member | 3802 Golden Feather Way, KISSIMMEE, FL 34746 |
| NOEL, IRENE | Authorized Member | 3802 Golden Feather Way, KISSIMMEE, FL 34746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-17 | 1674 Pleasant Hills Road, KISSIMMEE, FL 34746 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-17 | 1674 Pleasant Hills Road, KISSIMMEE, FL 34746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-17 | 3802 Golden Feather Way, KISSIMMEE, FL 34746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-06-27 |
| ANNUAL REPORT | 2020-03-08 |
| ANNUAL REPORT | 2019-05-22 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-02-17 |
| Florida Limited Liability | 2016-09-01 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
