| Entity Name: | KW MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Mar 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2022 (2 years ago) |
| Document Number: | L21000107176 |
| FEI/EIN Number | 86-2999497 |
| Address: | 2584 COUNRTY GOLF DRIVE, WELLINGTON, FL 33414 |
| Mail Address: | 2584 COUNRTY GOLF DRIVE, WELLINGTON, FL 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477137339 | 2021-05-07 | 2021-05-07 | 2584 COUNTRY GOLF DR, WELLINGTON, FL, 334148322, US | 2584 COUNTRY GOLF DR, WELLINGTON, FL, 334148322, US | |||||||||||||||||||||
|
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| Phone | +1 561-856-3961 |
Authorized person
| Name | CYNTHIA BARBER |
| Role | OWNER |
| Phone | 5618563961 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KW Medical Service | Agent | 2584 COUNTRY GOLF DRIVE, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| BARBER, CYNTHIA | Manager | 2584 COUNTRY GOLF DRIVE, WELLINGTON, FL 33414 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000135191 | KW PROVIDER SERVICES | ACTIVE | 2022-10-29 | 2027-12-31 | No data | 2584 COUNRTY GOLF DRIVE, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-03 | KW Medical Service | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-03 |
| REINSTATEMENT | 2022-10-03 |
| Florida Limited Liability | 2021-03-05 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
