| Entity Name: | PHOENIX HEALTH CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Mar 2023 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L23000159761 |
| Address: | 601 GROVE ST, LAKE WORTH BEACH, FL, 33461, UN |
| Mail Address: | 601 GROVE ST, LAKE WORTH BEACH, FL, 33461, UN |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205615069 | 2023-09-21 | 2023-09-21 | 601 GROVE ST, LAKE WORTH BEACH, FL, 334615613, US | 601 GROVE ST, LAKE WORTH BEACH, FL, 334615613, US | |||||||||||||||||||
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| Phone | +1 321-368-0300 |
Authorized person
| Name | YULIET RODRIGUEZ |
| Role | OWNER/ADMIN |
| Phone | 5618273765 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 239438 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRUJILLO GUSTAVO | Agent | 601 GROVE ST, LAKE WORTH BEACH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ YULIET | Manager | 601 GROVE ST, LAKE WORTH BEACH, FL, 33461 |
| TRUJILLO GUSTAVO | Manager | 601 GROVE ST, LAKE WORTH BEACH, FL, 33461 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000058571 | PHOENIX CARE SERVICES LLC | ACTIVE | 2023-05-09 | 2028-12-31 | No data | 601 GROVE ST, LAKE WORTH BEACH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
