| Entity Name: | CREATIVE HEALTH CARE MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Oct 2014 (10 years ago) |
| Document Number: | M14000007194 |
| FEI/EIN Number | 27-4452399 |
| Address: | 10 S. 9TH STREET, STE. 4, NOBLESVILLE, IN, 46060 |
| Mail Address: | 10 S. 9TH STREET, STE. 4, NOBLESVILLE, IN, 46060 |
| Place of Formation: | INDIANA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790302164 | 2020-07-01 | 2020-12-21 | 10 S 9TH ST STE 4, NOBLESVILLE, IN, 460602631, US | 1120 33RD AVE W, BRADENTON, FL, 342056219, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 317-708-6496 |
| Fax | 3177086496 |
| Phone | +1 317-204-3736 |
Authorized person
| Name | MISTY D BEAUDRY-ZOBEL |
| Role | MEDICAL REIMBURSEMENT COORDINATOR |
| Phone | 3172043736 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Clayton Jeffrey L | Agent | 10201 THURSTON GROVES BLVD, SEMINOLE, FL, 337780000 |
| Name | Role | Address |
|---|---|---|
| CLAYTON JEFF | Chief Executive Officer | 10 S. 9TH STREET, STE. 4, NOBLESVILLE, IN, 46060 |
| Name | Role | Address |
|---|---|---|
| Beaudry Jessica | Vice President | 10 S. 9TH STREET, STE. 4, NOBLESVILLE, IN, 46060 |
| Name | Role | Address |
|---|---|---|
| Barnard Marcia | Auth | 10 S. 9TH STREET, STE. 4, NOBLESVILLE, IN, 46060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-12 | 10201 THURSTON GROVES BLVD, SEMINOLE, FL 33778-0000 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-20 | Clayton, Jeffrey L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
