| Entity Name: | FIRST ALERT HOME HEALTH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jun 2021 (4 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 13 Jan 2022 (3 years ago) |
| Document Number: | L21000266565 |
| FEI/EIN Number | 871132697 |
| Address: | 350 Camino Gardens Blvd, Suite 302, Boca Raton, FL, 33432, US |
| Mail Address: | 350 Camino Gardens Blvd, Suite 302, Boca Raton, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598336794 | 2021-07-08 | 2023-08-17 | 350 CAMINO GARDENS BLVD STE 302, BOCA RATON, FL, 334325825, US | 350 CAMINO GARDENS BLVD STE 302, BOCA RATON, FL, 334325825, US | |||||||||||||||||||||||||
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| Phone | +1 561-717-4987 |
| Fax | 5617176948 |
Authorized person
| Name | CAROL LONGBRIDGE |
| Role | P/ADMIN |
| Phone | 9549348609 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 118569900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LONGBRIDGE CAROL | Agent | 350 Camino Gardens Blvd, Suite 302, Boca Raton, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| Longbridge Carol | President | 350 Camino Gardens Blvd, Suite 302, Boca Raton, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| LONGBRIDGE CAROL | Chief Executive Officer | 13210 NW 13TH STREET, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| ROBERTS CRYSTAL-ANN | Vice President | 1716 NW 166TH AVE, PEMBROKE PINES, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2022-01-13 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-13 | 350 Camino Gardens Blvd, Suite 302, Boca Raton, FL 33432 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-13 | LONGBRIDGE, CAROL | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-22 | 350 Camino Gardens Blvd, Suite 302, Boca Raton, FL 33432 | No data |
| LC AMENDMENT | 2021-06-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-01-13 |
| CORLCRACHG | 2022-01-13 |
| LC Amendment | 2021-06-24 |
| Florida Limited Liability | 2021-06-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
