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PREMIER GROUP HOME ,LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DORT KEMLIE Agent 1122 ESSEX DR., WELLINGTON, FL, 33414

Admi

Name Role Address
DORT KEMLIE Admi 5519 WISHING STAR LANE, GREENACERS, FL, 33463

Manager

Name Role Address
DORT MACKINSON Manager 1122 ESSEX DR, WELLINGTON, FL, 33414

Fictitious Names

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

Events

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

Documents

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