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IMMACULATE HOME HEALTH CARE LLC

Company Details

Entity Name: IMMACULATE HOME HEALTH CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Sep 2020 (4 years ago)
Document Number: L20000284949
FEI/EIN Number 85-3097089
Address: 1600 S DIXIE HIGHWAY, SUITE 106, BOCA RATON, FL 33432
Mail Address: 1600 S DIXIE HIGHWAY, SUITE 106, BOCA RATON, FL 33432
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346856416 2020-09-23 2023-12-26 1600 S DIXIE HWY STE 106, BOCA RATON, FL, 334327463, US 1600 S DIXIE HWY STE 106, BOCA RATON, FL, 334327463, US

Contacts

Phone +1 954-531-3585
Fax 8552995825

Authorized person

Name CORETTA WATERS
Role OWNER
Phone 9545313585

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
WATERS, CORETTA Agent 1600 S Dixie Highway, Suite 106, Boca Raton, FL 33432

Authorized Member

Name Role Address
WATERS, CORETTA Authorized Member 1600 S DIXIE HIGHWAY SUITE 106, BOCA RATON, FL 33432

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000035150 IMMACULATE HOME HEALTH CARE 2 ACTIVE 2022-03-17 2027-12-31 No data 6101 W ATLANTIC BLVD SUITE 212, MARGATE, FL, 33063

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-30 1600 S Dixie Highway, Suite 106, Boca Raton, FL 33432 No data
CHANGE OF PRINCIPAL ADDRESS 2022-07-06 1600 S DIXIE HIGHWAY, SUITE 106, BOCA RATON, FL 33432 No data
CHANGE OF MAILING ADDRESS 2022-07-06 1600 S DIXIE HIGHWAY, SUITE 106, BOCA RATON, FL 33432 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-29
Florida Limited Liability 2020-09-11

Date of last update: 15 Jan 2025

Sources: Florida Department of State