| Entity Name: | PANHANDLE THERAPY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PANHANDLE THERAPY CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Jan 2020 (5 years ago) |
| Document Number: | L20000028715 |
| FEI/EIN Number |
844411030
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 20311 CENTRAL AVE. WEST, BLOUNTSTOWN, FL, 32424, US |
| Mail Address: | 16570 SW CHIPOLA RD, BLOUNTSTOWN, FL, 32424, US |
| ZIP code: | 32424 |
| County: | Calhoun |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740915974 | 2022-07-21 | 2022-07-21 | 20274 CENTRAL AVE W, BLOUNTSTOWN, FL, 324241957, US | 20274 CENTRAL AVE W, BLOUNTSTOWN, FL, 324241957, US | |||||||||||||||||||||
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| Phone | +1 850-674-8888 |
| Fax | 8502371223 |
Authorized person
| Name | HEATHER MONTFORD KING |
| Role | CEO/DIRECTOR |
| Phone | 8504474546 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111578300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PLUMMER JON M | Manager | 16570 SW CHIPOLA RD, BLOUNTSTOWN, FL, 32424 |
| PLUMMER JON M | Agent | 16570 SW CHIPOLA RD, BLOUNTSTOWN, FL, 32424 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-23 | 20311 CENTRAL AVE. WEST, BLOUNTSTOWN, FL 32424 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-07-27 |
| Florida Limited Liability | 2020-01-22 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
