Entity Name: | BREATHE EASY RESPIRATORY SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 02 Oct 2017 (7 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 09 Nov 2017 (7 years ago) |
Document Number: | L17000203167 |
FEI/EIN Number | 822962124 |
Address: | 4645 Palmbrooke Cir, West Palm Beach, FL, 33417, US |
Mail Address: | 4645 Palmbrooke Cir, West Palm Beach, FL, 33417, US |
ZIP code: | 33417 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194287938 | 2019-04-02 | 2019-04-02 | 79 MAYFAIR LN, BOYNTON BEACH, FL, 334268126, US | 79 MAYFAIR LN, BOYNTON BEACH, FL, 334268126, US | |||||||||||||||||||
|
Phone | +1 561-460-0110 |
Authorized person
Name | MINA MORADI |
Role | MGR/OWNER |
Phone | 5614600110 |
Taxonomy
Taxonomy Code | 2279H0200X - Home Health Registered Respiratory Therapist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 010375300 |
State | FL |
Name | Role | Address |
---|---|---|
MORADI MINA | Agent | 4645 Palmbrooke Cir, West Palm Beach, FL, 33417 |
Name | Role | Address |
---|---|---|
MORADI MINA | Manager | 4645 Palmbrooke Cir, West Palm Beach, FL, 33417 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 4645 Palmbrooke Cir, West Palm Beach, FL 33417 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-05 | 4645 Palmbrooke Cir, West Palm Beach, FL 33417 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 4645 Palmbrooke Cir, West Palm Beach, FL 33417 | No data |
LC AMENDMENT | 2017-11-09 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-05 |
AMENDED ANNUAL REPORT | 2023-09-11 |
ANNUAL REPORT | 2023-01-08 |
ANNUAL REPORT | 2022-03-11 |
ANNUAL REPORT | 2021-03-30 |
ANNUAL REPORT | 2020-02-07 |
ANNUAL REPORT | 2019-04-19 |
ANNUAL REPORT | 2018-03-11 |
LC Amendment | 2017-11-09 |
Florida Limited Liability | 2017-10-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State