Entity Name: | PREMIER GROUP HOME ,LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Aug 2020 (4 years ago) |
Last Event: | LC NAME CHANGE |
Event Date Filed: | 20 Oct 2023 (a year ago) |
Document Number: | L20000250403 |
FEI/EIN Number | 85-2538466 |
Address: | 1122 ESSEX DR., WELLINGTON, FL, 33414 |
Mail Address: | 5519 WISHING STAR LANE, GREENACRES, FL, 33463 |
ZIP code: | 33414 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851163075 | 2023-10-23 | 2023-10-23 | 1122 ESSEX DR, WELLINGTON, FL, 334145606, US | 1122 ESSEX DR, WELLINGTON, FL, 334145606, US | |||||||||||||
|
Phone | +1 561-568-5008 |
Authorized person
Name | KEMLIE B DORT |
Role | ADMINISTRATOR |
Phone | 5615685008 |
Taxonomy
Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DORT KEMLIE | Agent | 1122 ESSEX DR., WELLINGTON, FL, 33414 |
Name | Role | Address |
---|---|---|
DORT KEMLIE | Admi | 5519 WISHING STAR LANE, GREENACERS, FL, 33463 |
Name | Role | Address |
---|---|---|
DORT MACKINSON | Manager | 1122 ESSEX DR, WELLINGTON, FL, 33414 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000149453 | PREMIER GROUP HOME | ACTIVE | 2023-12-10 | 2028-12-31 | No data | 1122 ESSEX DR, WELLINGTON, FL, 33414 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC NAME CHANGE | 2023-10-20 | PREMIER GROUP HOME ,LLC | No data |
LC AMENDMENT | 2022-08-26 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-09 |
LC Name Change | 2023-10-20 |
ANNUAL REPORT | 2023-04-12 |
LC Amendment | 2022-08-26 |
ANNUAL REPORT | 2022-05-27 |
ANNUAL REPORT | 2021-04-13 |
Florida Limited Liability | 2020-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State