| Entity Name: | OPTIMAL CARE AT HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Mar 2020 (5 years ago) |
| Date of dissolution: | 27 Dec 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Dec 2023 (a year ago) |
| Document Number: | L20000085950 |
| FEI/EIN Number | 84-5182258 |
| Address: | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 |
| Mail Address: | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073124392 | 2020-08-11 | 2020-11-11 | 5072 ARBOR GLEN CIR, LAKE WORTH, FL, 334638041, US | 5072 ARBOR GLEN CIR, LAKE WORTH, FL, 334638041, US | |||||||||||||||||||
|
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| Phone | +1 561-485-1241 |
Authorized person
| Name | ROSE CELIAN |
| Role | CLIENT CARE LIAISONS |
| Phone | 5614851241 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107723200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CELIAN, ROSE | Agent | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| CELIAN, ROSE | Manager | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| CELIAN, MARC | Authorized Person | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-27 | No data | No data |
| LC AMENDMENT | 2022-05-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-02 | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-02 | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-02 | 5072 ARBOR CLEN CIRCLE, LAKE WORTH, FL 33463 | No data |
| LC AMENDMENT | 2020-04-20 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-12-27 |
| ANNUAL REPORT | 2023-04-30 |
| LC Amendment | 2022-05-02 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-04-29 |
| LC Amendment | 2020-04-20 |
| Florida Limited Liability | 2020-03-19 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
