| Entity Name: | CARE EXCELLENCE HOME OXYGEN EVALUATIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jan 2022 (3 years ago) |
| Document Number: | L22000037809 |
| FEI/EIN Number | 88-0645447 |
| Address: | 220 West 4th St, Deer Park, NY 11729 |
| Mail Address: | 220 West 4th St, Deer Park, NY 11729 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508502261 | 2022-05-06 | 2022-05-06 | 20533 BISCAYNE BLVD # 4-635, AVENTURA, FL, 331801529, US | 20533 BISCAYNE BLVD # 4-635, AVENTURA, FL, 331801529, US | |||||||||||||||||||
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| Phone | +1 786-826-7516 |
Authorized person
| Name | KAY STEPHENSON |
| Role | APRN |
| Phone | 7868267516 |
Taxonomy
| Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 197273 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STEPHENSON, KAY | Agent | 220 West 4th St, Deer Park, FL 11729 |
| Name | Role | Address |
|---|---|---|
| Stephenson, Kay | Manager | 220 West 4th St, Deer Park, NY 11729 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000081984 | C E H OXYGEN AND MEDICAL EVALUATIONS | ACTIVE | 2022-07-11 | 2027-12-31 | No data | 20533 BISCAYNE BLVD STE 4635, AVENTURA, FL, 33179 |
| G22000042436 | CEH OXYGEN EVAL | ACTIVE | 2022-04-04 | 2027-12-31 | No data | 19930 NE 5TH COURT, MIAMI, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 220 West 4th St, Deer Park, NY 11729 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 220 West 4th St, Deer Park, NY 11729 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 220 West 4th St, Deer Park, FL 11729 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-21 |
| Florida Limited Liability | 2022-01-14 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
