| Entity Name: | HOLISTIC CARE SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Dec 2019 (5 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L19000301638 |
| FEI/EIN Number | 84-4011816 |
| Address: | 1489 NORTH MILITARY TRAIL, SUITE 112, WEST PALM BEACH, FL 33409 |
| Mail Address: | 1489 NORTH MILITARY TRAIL, SUITE 112, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730851437 | 2021-09-30 | 2021-09-30 | 1489 N MILITARY TRL STE 112, WEST PALM BEACH, FL, 334096030, US | 1489 N MILITARY TRL STE 112, WEST PALM BEACH, FL, 334096030, US | |||||||||||||||||||||||
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| Phone | +1 561-633-1404 |
Authorized person
| Name | ROSE DESTINE |
| Role | OWNER |
| Phone | 5616331404 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111535400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DESTINE, ROSE A | Agent | 1489 NORTH MILITARY TRAIL, SUITE 112, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| DESTINE, ROSE A | Manager | 1131 THE POINTE DRIVE, WEST PALM BEACH, FL 33409 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000090603 | HOLISTIC CARE STAFFING SOLUTIONS | ACTIVE | 2021-07-09 | 2026-12-31 | No data | 1489 NORTH MILITARY TRAIL SUITE 112, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-07 | 1489 NORTH MILITARY TRAIL, SUITE 112, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-18 |
| Florida Limited Liability | 2019-12-11 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
