| Entity Name: | GRACE HOME REHAB SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Mar 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000107585 |
| FEI/EIN Number | 86-2694712 |
| Address: | 2620 S UNIVERSITY DR., 307, DAVIE, FL, 33328, US |
| Mail Address: | 2620 S UNIVERSITY DR., 307, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316527633 | 2021-04-11 | 2021-04-11 | 2620 S UNIVERSITY DR APT 307, DAVIE, FL, 333281472, US | 2620 S UNIVERSITY DR APT 307, DAVIE, FL, 333281472, US | |||||||||||||||||||||||||
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| Phone | +1 732-725-7040 |
Authorized person
| Name | DR. DANIEL BOTROS |
| Role | OWNER |
| Phone | 7327257040 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1871130559 |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BOTROS DANIEL S | Authorized Member | 2620 S UNIVERSITY DR., APT. 307, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-07 |
| Florida Limited Liability | 2021-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
