Entity Name: | TOUCH OF WELLNESS REHAB LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 31 Aug 2021 (3 years ago) |
Document Number: | L21000388516 |
FEI/EIN Number | 86-3456235 |
Address: | 20283 State Road 7, Suite 307, Boca Raton, FL, 33498, US |
Mail Address: | 20283 State Road 7, Suite 307, Boca Raton, FL, 33498, US |
ZIP code: | 33498 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326781675 | 2022-04-14 | 2023-09-22 | PO BOX 222205, WEST PALM BEACH, FL, 334222205, US | 20283 STATE ROAD 7 STE 307, BOCA RATON, FL, 334986901, US | |||||||||||||||||||||
|
Phone | +1 561-298-5603 |
Fax | 5619255604 |
Authorized person
Name | DR. ADELINE PIERRE |
Role | MANAGER |
Phone | 5612985603 |
Taxonomy
Taxonomy Code | 225XP0019X - Physical Rehabilitation Occupational Therapist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | P600003716350 |
State | FL |
Name | Role | Address |
---|---|---|
PIERRE ADELINE C | Agent | 20283 State Road 7, Boca Raton, FL, 33498 |
Name | Role | Address |
---|---|---|
PIERRE ADELINE C | President | 134 GALIANO STREET, ROYAL PALM BEACH, FL, 33411 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-08-15 | 20283 State Road 7, Suite 307, Boca Raton, FL 33498 | No data |
CHANGE OF MAILING ADDRESS | 2023-08-15 | 20283 State Road 7, Suite 307, Boca Raton, FL 33498 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-08-15 | 20283 State Road 7, Suite 307, Boca Raton, FL 33498 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-04 |
ANNUAL REPORT | 2023-08-15 |
ANNUAL REPORT | 2022-04-02 |
Florida Limited Liability | 2021-08-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State