| Entity Name: | EXCELLENCE HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 May 2018 (7 years ago) |
| Document Number: | L18000110268 |
| FEI/EIN Number | 82-5486007 |
| Address: | 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL 32117 |
| Mail Address: | 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447741749 | 2018-05-22 | 2018-09-19 | 1630 MASON AVE, DAYTONA BEACH, FL, 321174547, US | 1630 MASON AVE STE C, DAYTONA BEACH, FL, 321174547, US | |||||||||||||||||||||||||
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| Phone | +1 386-238-9064 |
| Fax | 3862389063 |
Authorized person
| Name | RACHAEL MITCHELL |
| Role | BILLER |
| Phone | 3862389064 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME94169 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 273953400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EDDIN, HUSAM | Agent | 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL 32117 |
| Name | Role | Address |
|---|---|---|
| EDDIN, HUSAM | Manager | 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL 32117 |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Coastal Center Operations, LLC d/b/a Coastal Health and Rehabilitation Center, Appellant(s), v. Cynthia Flynn, Excellence Health, LLC, Kathryn Erickson, and James Benvenuto, as Personal Representative of the Estate of Lori Benvenuto, Appellee(s). | 5D2024-2023 | 2024-07-23 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | COASTAL CENTER OPERATIONS LLC |
| Role | Appellant |
| Status | Active |
| Representations | Michael Jeffrey Schwartz, Susan Bernhardt Rogers, Daniel Stuart Weinger |
| Name | Coastal Health and Rehabilitation Center |
| Role | Appellant |
| Status | Active |
| Name | Cynthia Flynn |
| Role | Appellee |
| Status | Active |
| Representations | Thomas Earle Dukes, III |
| Name | EXCELLENCE HEALTH, LLC |
| Role | Appellee |
| Status | Active |
| Representations | Craig Steven Foels |
| Name | Kathryn Erickson |
| Role | Appellee |
| Status | Active |
| Name | James Benvenuto |
| Role | Appellee |
| Status | Active |
| Representations | Kim Elaine Bouck |
| Name | Estate of Lori Benvenuto |
| Role | Appellee |
| Status | Active |
| Name | Hon. Mary Griffo Jolley |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Volusia Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2024-10-02 |
| Type | Mandate |
| Subtype | Disp. w/o Mandate |
| Description | Disp. w/o Mandate |
| Docket Date | 2024-09-12 |
| Type | Disposition by Order |
| Subtype | Dismissed |
| Description | APPEAL DISMISSED; AMENDED NOVD ACCEPTED |
| View | View File |
| Docket Date | 2024-09-10 |
| Type | Motions Other |
| Subtype | Motion/Notice Voluntary Dismissal |
| Description | Motion/Notice Voluntary Dismissal -AMENDED |
| On Behalf Of | Coastal Center Operations, LLC |
| Docket Date | 2024-09-10 |
| Type | Order |
| Subtype | Order Striking Filing |
| Description | Order Striking Filing; AA W/IN 5 DYS FILE AMENDED NOVD; NOVD STRICKEN |
| View | View File |
| Docket Date | 2024-09-06 |
| Type | Motions Other |
| Subtype | Motion/Notice Voluntary Dismissal |
| Description | Motion/Notice Voluntary Dismissal |
| On Behalf Of | Coastal Center Operations, LLC |
| Docket Date | 2024-08-08 |
| Type | Order |
| Subtype | Order Declining Referral to Mediation |
| Description | Order Declining Referral to Mediation |
| View | View File |
| Docket Date | 2024-07-29 |
| Type | Event |
| Subtype | Fee Paid in Full - $300 |
| Description | Fee Paid in Full - $300 |
| View | View File |
| Docket Date | 2024-07-29 |
| Type | Notice |
| Subtype | Notice of Appearance |
| Description | Notice of Appearance - Filed Here 7/29/2024 |
| On Behalf Of | Coastal Center Operations, LLC |
| Docket Date | 2024-07-23 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-07-23 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal - Filed Below 7/22/2024 |
| Docket Date | 2024-07-23 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order on Filing Fee - Fee Paid |
| View | View File |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-18 |
| Florida Limited Liability | 2018-05-02 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
