| Entity Name: | ORLANDO INTERIM ACQUISITION COMPANY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jun 2002 (23 years ago) |
| Document Number: | M02000001460 |
| FEI/EIN Number | 412037416 |
| Address: | 1890 STATE RD 436, STE 355, WINTER PARK, FL, 32792-2285, US |
| Mail Address: | 1890 STATE RD 436, STE 300, WINTER PARK, FL, 32792-2285 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336208867 | 2006-12-08 | 2015-06-04 | 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 327922285, US | 1890 STATE ROAD 436, SUITE 355, WINTER PARK, FL, 327922285, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-645-3211 |
| Fax | 4076282853 |
| Phone | +1 407-740-5284 |
| Fax | 4075391463 |
Authorized person
| Name | MR. KENNETH H. SCHULTZ |
| Role | MANAGER |
| Phone | 4076453211 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 205690961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 651711100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCHULTZ KENNETH H | Agent | 1890 STATE RD 436, STE 300, WINTER PARK, FL, 327922285 |
| Name | Role | Address |
|---|---|---|
| SCHULTZ KENNETH H | Manager | 1890 STATE RD 436, STE 300, WINTER PARK, FL, 32792 |
| Schultz Gregory M | Manager | 1890 STATE RD 436, STE 300, WINTER PARK, FL, 32792 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G02161900417 | INTERIM HEALTHCARE OF GREATER ORLANDO | ACTIVE | 2002-06-10 | 2027-12-31 | No data | 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2007-08-15 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| REINSTATEMENT | 2003-12-05 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2003-09-26 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
