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PEDIATRIA HEALTHCARE, LLC

Company Details

Entity Name: PEDIATRIA HEALTHCARE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 30 Oct 2006 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 24 Oct 2017 (7 years ago)
Document Number: M06000006015
FEI/EIN Number 204498537
Address: 400 INTERSTATE NORTH PARKWAY SE, Atlanta, GA, 30339, US
Mail Address: 400 INTERSTATE NORTH PARKWAY SE, Atlanta, GA, 30339, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790181568 2014-11-06 2024-02-05 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA, 303395047, US 724 BOWING OAK DR, BRANDON, FL, 335115974, US

Contacts

Phone +1 470-464-8000
Fax 7708401901
Phone +1 813-982-3695
Fax 8139823800

Authorized person

Name SHANNON DRAKE
Role CHIEF LEGAL OFFICER
Phone 4704648000

Taxonomy

Taxonomy Code 261QM3000X - Medically Fragile Infants and Children Day Care
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Chief Executive Officer

Name Role Address
Shaner Jeffrey Chief Executive Officer 400 INTERSTATE NORTH PARKWAY SE, Atlanta, GA, 30339

Chief Financial Officer

Name Role Address
Buckhalter Matthew Chief Financial Officer 400 INTERSTATE NORTH PARKWAY SE, Atlanta, GA, 30339

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000079186 AVEANNA HEALTHCARE ACTIVE 2018-07-23 2029-12-31 No data 400 INTERSTATE NORTH PKWY SE, SUITE 1600, ATLANTA, GA, 30339
G14000002677 PEDIATRIA HEALTHCARE FOR KIDS EXPIRED 2014-01-08 2019-12-31 No data 5185 PEACHTREE PKWY., SUITE 350, NORCROSS, GA, 30092--654
G08295900052 PEDIATRIC HEALTHCARE FOR KIDS EXPIRED 2008-10-21 2013-12-31 No data 5185 PEACHTREE PARKWAY NW, SUITE 350, NORCROSS, GA, 30092

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-01-02 400 INTERSTATE NORTH PARKWAY SE, STE. 1600, Atlanta, GA 30339 No data
CHANGE OF MAILING ADDRESS 2019-01-02 400 INTERSTATE NORTH PARKWAY SE, STE. 1600, Atlanta, GA 30339 No data
REINSTATEMENT 2017-10-24 No data No data
REGISTERED AGENT NAME CHANGED 2017-10-24 CORPORATION SERVICE COMPANY No data
REVOKED FOR ANNUAL REPORT 2017-09-22 No data No data
LC STMNT OF RA/RO CHG 2017-09-01 No data No data
REGISTERED AGENT ADDRESS CHANGED 2017-09-01 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-01-06
ANNUAL REPORT 2019-01-02
ANNUAL REPORT 2018-01-15
REINSTATEMENT 2017-10-24
CORLCRACHG 2017-09-01
ANNUAL REPORT 2016-01-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State