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OPERATION ART DISTRICT HEALTHCARE LLC

Company Details

Entity Name: OPERATION ART DISTRICT HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 04 Mar 2019 (6 years ago)
Date of dissolution: 02 Dec 2020 (4 years ago)
Last Event: CONVERSION
Event Date Filed: 02 Dec 2020 (4 years ago)
Document Number: L19000061165
FEI/EIN Number 83-4711986
Address: 1313 W BOYNTON BEACH BLVD 1B, BOYNTON BEACH, FL, 33426, US
Mail Address: 1313 W BOYNTON BEACH BLVD 1B, BOYNTON BEACH, FL, 33426, US
ZIP code: 33426
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023656451 2019-12-17 2019-12-17 11 NOTTINGHAM PL, BOYNTON BEACH, FL, 334268427, US 11 NOTTINGHAM PL, BOYNTON BEACH, FL, 334268427, US

Contacts

Phone +1 786-389-9773

Authorized person

Name MERCEDES DERICHO
Role FOUNDER/CEO
Phone 7863899773

Taxonomy

Taxonomy Code 171000000X - Military Health Care Provider
Is Primary No
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary No
Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary No
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary No

Agent

Name Role Address
DERICHO MERCEDES Agent 1313 W BOYNTON BEACH BLVD 1B, BOYNTON BEACH, FL, 33426

Managing Member

Name Role Address
DERICHO MERCEDES Managing Member 1313 W BOYNTON BEACH BLVD 1B, BOYNTON BEACH, FL, 33426

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000126760 OAD HEALTHCARE EXPIRED 2019-11-29 2024-12-31 No data 11 NOTTINGHAM PL, BOYNTON BEACH, FL, 33426

Events

Event Type Filed Date Value Description
CONVERSION 2020-12-02 No data CONVERSION MEMBER. RESULTING CORPORATION WAS P20000092282. CONVERSION NUMBER 900000207659
CHANGE OF PRINCIPAL ADDRESS 2020-02-22 1313 W BOYNTON BEACH BLVD 1B, #346, BOYNTON BEACH, FL 33426 No data
CHANGE OF MAILING ADDRESS 2020-02-22 1313 W BOYNTON BEACH BLVD 1B, #346, BOYNTON BEACH, FL 33426 No data
REGISTERED AGENT NAME CHANGED 2020-02-22 DERICHO, MERCEDES No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-22 1313 W BOYNTON BEACH BLVD 1B, #346, BOYNTON BEACH, FL 33426 No data
LC NAME CHANGE 2019-04-26 OPERATION ART DISTRICT HEALTHCARE LLC No data

Documents

Name Date
ANNUAL REPORT 2020-02-22
LC Name Change 2019-04-26
Florida Limited Liability 2019-03-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State