| Entity Name: | PASSIONATE CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Sep 2022 (2 years ago) |
| Document Number: | L17000161364 |
| FEI/EIN Number | 822311088 |
| Address: | 5601 CORPORATE WAY, #111, WEST PALM BEACH, FL, 33407, US |
| Mail Address: | 5601 CORPORATE WAY, #111, WEST PALM BEACH, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780335323 | 2022-01-14 | 2023-01-19 | 5601 CORPORATE WAY STE 111, WEST PALM BEACH, FL, 334072041, US | 5601 CORPORATE WAY STE 111, WEST PALM BEACH, FL, 334072041, US | |||||||||||||||||||||
|
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| Phone | +1 561-421-2494 |
| Fax | 5614294504 |
Authorized person
| Name | MICHELLE DANIELLE SCOTT |
| Role | DIRECTOR |
| Phone | 5614212494 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104418600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MICHELLE SCOTT | Agent | 5601 CORPORATE WAY #111, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| SCOTT MICHELLE D | Manager | 5601 CORPORATE WAY, WEST PALM BEACH, 33407 |
| SCOTT KATRINA | Manager | 5601 CORPORATE WAY #111, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| SANON JEAN | Authorized Member | 5601 CORPORATE WAY, WEST PALM BEACH, FL, 33407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000084872 | PASSIONATE CARE TRAINING CENTER | ACTIVE | 2024-07-16 | 2029-12-31 | No data | 5601 CORPORATE WAY STE 111, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-09-21 | 5601 CORPORATE WAY #111, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-21 | 5601 CORPORATE WAY, #111, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-21 | 5601 CORPORATE WAY, #111, WEST PALM BEACH, FL 33407 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-21 | MICHELLE SCOTT | No data |
| LC AMENDMENT | 2022-09-16 | No data | No data |
| LC AMENDMENT | 2022-05-16 | No data | No data |
| LC AMENDMENT | 2022-04-18 | No data | No data |
| LC STMNT OF RA/RO CHG | 2022-04-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-27 |
| Reg. Agent Change | 2022-09-21 |
| LC Amendment | 2022-09-16 |
| LC Amendment | 2022-05-16 |
| CORLCRACHG | 2022-04-18 |
| LC Amendment | 2022-04-18 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-07-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
