| Entity Name: | WEST BROWARD REFERRAL & NURSES AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Feb 1990 (35 years ago) |
| Document Number: | L50761 |
| FEI/EIN Number | 650175673 |
| Address: | 4534 N.university Dr., LAUDERHILL, FL, 33351, US |
| Mail Address: | 5100 NW 64th Terr, LAUDERHILL, FL, 33351, US |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649475039 | 2007-06-18 | 2007-09-14 | 4534 N UNIVERSITY DR, LAUDERHILL, FL, 333515740, US | 4534 N UNIVERSITY DR, LAUDERHILL, FL, 333515740, US | |||||||||||||||||||||||
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| Phone | +1 954-572-0311 |
Authorized person
| Name | BERNICE HENRY |
| Role | ADMINISTRATOR |
| Phone | 9545720311 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 21289096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | 21289096 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HENRY Donna C | Agent | 5957 ABBEY RD, TAMARAC, FL, 33320 |
| Name | Role | Address |
|---|---|---|
| HENRY, DONNA C | President | 5957 ABBEY RD., TAMARAC, FL, 33320 |
| Name | Role | Address |
|---|---|---|
| HENRY, BERNICE B | Secretary | 5100 NW 64TH TERR, LAUDERHILL, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| HENRY DONNA C | AAD | 5100 NW 64TH TERRACE, LAUDERHILL, FL, 33319 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000040403 | ALL-INTENSIVE HOME CARE NURSES AGENCY (AHCNA) | EXPIRED | 2016-04-20 | 2021-12-31 | No data | 4534 N UNIVERSITY DRIVE, LAUDERHILL, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2010-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| NAME CHANGE AMENDMENT | 1990-03-08 | WEST BROWARD REFERRAL & NURSES AGENCY, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000825982 | ACTIVE | 1000000852595 | BROWARD | 2019-12-16 | 2029-12-18 | $ 600.04 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J18000583757 | LAPSED | 13-218-D2 | LEON | 2018-05-22 | 2023-08-28 | $1,240.27 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
