| Entity Name: | MALIBU COMPANION SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jan 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000020032 |
| Address: | 7407 COCONUT DR, LAKE WORTH, FL, 33467, US |
| Mail Address: | 7407 COCONUT DR, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235638412 | 2018-02-02 | 2018-02-02 | 8106 WOODLAND CT SE, COVINGTON, GA, 300143958, US | 7407 COCOANUT DR, LAKE WORTH, FL, 334676421, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 770-873-6303 |
| Fax | 6786252662 |
Authorized person
| Name | MARTHE PIERRE |
| Role | RN |
| Phone | 7708736303 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENT |
| Number | 1234 |
| Issuer | MEDICAID |
| Number | 1234 |
| State | FL |
| Issuer | MEDICAID |
| Number | 330382076A |
| State | GA |
| Name | Role | Address |
|---|---|---|
| PAUL ORESTE P | Agent | 7407 COCONUT DR, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| PIERRE MARTHE | Manager | 7407 COCONUT DR, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-20 | 7407 COCONUT DR, LAKE WORTH, FL 33467 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
