| Entity Name: | PINE ISLAND WELLNESS AT HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Dec 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Mar 2023 (2 years ago) |
| Document Number: | L20000387901 |
| FEI/EIN Number | 86-1266345 |
| Address: | 4020 PINETREE BLVD, SAINT JAMES CITY, FL, 33956, US |
| Mail Address: | 4020 PINETREE BLVD, SAINT JAMES CITY, FL, 33956, US |
| ZIP code: | 33956 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578346797 | 2023-08-14 | 2023-09-25 | 4020 PINETREE BLVD, SAINT JAMES CITY, FL, 339562429, US | 4480 STRINGFELLOW RD UNIT 86, SAINT JAMES CITY, FL, 339562414, US | |||||||||||||||||||||||
|
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| Phone | +1 239-940-0767 |
| Phone | +1 941-202-4005 |
Authorized person
| Name | JODY FRANKE |
| Role | MANAGING MEMBER - FOUNDER |
| Phone | 2399400767 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRANKE JODY P | Agent | 4020 PINETREE BLVD, SAINT JAMES CITY, FL, 33956 |
| Name | Role | Address |
|---|---|---|
| FRANKE JODY P | Manager | 4020 PINETREE BLVD, SAINT JAMES CITY, FL, 33956 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000171495 | WELLNESS AT HOME OF CAPE CORAL | ACTIVE | 2021-12-27 | 2026-12-31 | No data | 4020 PINETREE BLVD., SAINT JAMES CITY, FL, 33956 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-03-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-06 | FRANKE, JODY P | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2021-02-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| REINSTATEMENT | 2023-03-06 |
| LC Amendment | 2021-02-08 |
| Florida Limited Liability | 2020-12-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
