| Entity Name: | KINGDOM HEALTHCARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jun 2020 (5 years ago) |
| Document Number: | L20000165825 |
| FEI/EIN Number | 85-1592813 |
| Address: | 100 NE 15 STREET, HOMESTEAD, FL, 33030, US |
| Mail Address: | 100 NE 15 STREET, HOMESTEAD, FL, 33030, US |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316653025 | 2023-01-25 | 2023-02-25 | 100 NE 15TH ST STE 205, HOMESTEAD, FL, 330304577, US | 100 NE 15TH ST STE 205, HOMESTEAD, FL, 330304577, US | |||||||||||||||||
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| Phone | +1 786-309-2045 |
| Fax | 7867895406 |
| Phone | +1 786-693-2719 |
Authorized person
| Name | KETLY ANGOMA |
| Role | OWNER |
| Phone | 3146206002 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANGOMA KETLY | Agent | 16500 SW 137TH AVE, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| ANGOMA KETLY | Chief Executive Officer | 16500 SW 137TH AVE, 831, MIAMI, FL, 33177 |
| Jean Djenny | Chief Executive Officer | 1554 SW 116th Terr, Miami, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| ANGOMA MACK | Manager | 16500 SW 137TH AVE APT 831, MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-01 | 100 NE 15 STREET, SUITE 205, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-01 | 100 NE 15 STREET, SUITE 205, HOMESTEAD, FL 33030 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-05 |
| Florida Limited Liability | 2020-06-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
