| Entity Name: | WELCOME GROUP HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Mar 2019 (6 years ago) |
| Document Number: | L19000082956 |
| FEI/EIN Number | 85-1162084 |
| Mail Address: | 2434 WESTMONT DR, ROYAL PALM BEACH, FL, 33411, US |
| Address: | 2711 VISTA PARKWAY, WEST PALM BEACH, FL, 34411, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942809066 | 2020-10-20 | 2023-02-22 | 8616 WHITE CAY, WEST PALM BEACH, FL, 334115545, US | 2000 N FLORIDA MANGO RD STE 207, WEST PALM BEACH, FL, 334096443, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-246-0809 |
| Fax | 5615302023 |
Authorized person
| Name | MRS. RACHELLE CLERMONT |
| Role | OWNER |
| Phone | 5612460809 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109844200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 107234400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISIDOR EZECHIAS | Agent | 2434 WESTMONT DR, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| ISIDOR CLERMONT RACHELLE | Manager | 2434 WESTMONT DR, ROYAL PALM BEACH, FL, 33411 |
| ISIDOR EZECHIAS | Manager | 2434 WESTMONT DR, ROYAL PALM BEACH, FL, 33411 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000045167 | UNIKCODE LLC | ACTIVE | 2021-04-02 | 2026-12-31 | No data | 8616 WHITE CAY, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-21 | 2711 VISTA PARKWAY, UNIT B8, WEST PALM BEACH, FL 34411 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 2711 VISTA PARKWAY, UNIT B8, WEST PALM BEACH, FL 34411 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 2434 WESTMONT DR, ROYAL PALM BEACH, FL 33411 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-08 |
| Florida Limited Liability | 2019-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
