| Entity Name: | VITALITY HOME HEALTH AGENCY OF FL, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jan 2022 (3 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 15 Feb 2022 (3 years ago) |
| Document Number: | L22000046560 |
| FEI/EIN Number | 88-0794415 |
| Address: | 4000 Hollywood Boulevard, Suite 503S, HOLLYWOOD, FL 33021 |
| Mail Address: | 4000 Hollywood Boulevard, Suite 503S, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285382689 | 2022-03-15 | 2024-01-08 | 18975 COLLINS AVE UNIT 4202, SUNNY ISLES BEACH, FL, 331605441, US | 4000 HOLLYWOOD BLVD STE 555S, HOLLYWOOD, FL, 330216853, US | |||||||||||||||||
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| Phone | +1 917-968-4796 |
| Phone | +1 786-772-0201 |
| Fax | 7867720221 |
Authorized person
| Name | MISS GALINA BRAIMAN |
| Role | MANAGER |
| Phone | 7867720201 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NC VITALITY HHAFL, LLC. | Agent |
| Name | Role |
|---|---|
| NC VITALITY HHAFL, LLC. | Manager |
| MR VITALITY HHAFL, LLC. | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 4000 Hollywood Boulevard, Suite 503S, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 4000 Hollywood Boulevard, Suite 503S, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-01 | 4000 Hollywood Boulevard, Suite 503S, HOLLYWOOD, FL 33021 | No data |
| LC NAME CHANGE | 2022-02-15 | VITALITY HOME HEALTH AGENCY OF FL, LLC. | FILE AN ERROR |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| AMENDED ANNUAL REPORT | 2023-12-21 |
| ANNUAL REPORT | 2023-01-30 |
| LC Name Change | 2022-02-15 |
| Florida Limited Liability | 2022-01-26 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
