| Entity Name: | FIRST HOME CARE SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 May 2019 (6 years ago) |
| Document Number: | L19000126112 |
| FEI/EIN Number | 841828833 |
| Mail Address: | 1914 21ST, STREET, VERO BEACH, FL, 32960, US |
| Address: | 611 SW FEDERAL HIGHWAY, STE F, Stuart, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295392256 | 2019-05-24 | 2024-07-01 | 1914 21ST ST RM 14, VERO BEACH, FL, 329603489, US | 1914 21ST ST, VERO BEACH, FL, 329603489, US | |||||||||||||||||||||||||||
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| Phone | +1 772-567-6769 |
| Fax | 7725675289 |
Authorized person
| Name | PATRICIA PACAUD BREZAULT |
| Role | ADMINISTRATOR |
| Phone | 7725676769 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117195000 |
| State | FL |
| Issuer | LICENSE |
| Number | 299995510 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BREZAULT PATRICIA PAMBR | Authorized Member | 1914 21ST, STREET, VERO BEACH, FL, 329602476 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000143260 | EXCELLENT NURSING STAFF | ACTIVE | 2021-10-25 | 2026-12-31 | No data | 1914 21ST STREET, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-26 | 611 SW FEDERAL HIGHWAY, STE F, Stuart, FL 34994 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-17 | 611 SW FEDERAL HIGHWAY, STE F, Stuart, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-02 | 611 SW FEDERAL HIGHWAY, STE F, Stuart, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-05-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
