| Entity Name: | CONSORTIA HEALTH LONG TERM CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 Aug 2018 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | M18000007825 |
| FEI/EIN Number |
83-1334867
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1645 Palm Beach Lakes Blvd, Suite 240, West Palm Beach, FL 33401 |
| Mail Address: | 111 Congress Ave, Suite 400, AUSTIN, TX 78701 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689152779 | 2018-08-01 | 2020-12-28 | 1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL, 334012214, US | 1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL, 334012214, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 888-375-0219 |
| Fax | 8887124684 |
Authorized person
| Name | AMANDA WHELPLEY |
| Role | CEO |
| Phone | 5618763767 |
Taxonomy
| Taxonomy Code | 132700000X - Dietary Manager |
| Is Primary | No |
| Taxonomy Code | 163WA2000X - Administrator Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WC2100X - Continence Care Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC | Agent | - |
| CONSORTIA HEALTH HOLDINGS INC. | Managing Member | 111 Congress Ave, Suite 400, AUSTIN, TX 78701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-01 | 1645 Palm Beach Lakes Blvd, Suite 240, West Palm Beach, FL 33401 | - |
| CHANGE OF MAILING ADDRESS | 2019-03-29 | 1645 Palm Beach Lakes Blvd, Suite 240, West Palm Beach, FL 33401 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-25 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-02-01 |
| ANNUAL REPORT | 2019-03-29 |
| Foreign Limited | 2018-08-21 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
