| Entity Name: | PROVIDIA HOME CARE OF PALM BEACH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Sep 2023 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Oct 2023 (a year ago) |
| Document Number: | M23000012263 |
| FEI/EIN Number | 93-2614235 |
| Address: | 1103 N PARROT AVENUE, OKEECHOBEE, FL 34972 |
| Mail Address: | 1103 N PARROT AVENUE, OKEECHOBEE, FL 34972 |
| ZIP code: | 34972 |
| County: | Okeechobee |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285419788 | 2023-08-31 | 2023-08-31 | 1103 N PARROTT AVE, OKEECHOBEE, FL, 349722128, US | 1103 N PARROTT AVE, OKEECHOBEE, FL, 349722128, US | |||||||||||||
|
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| Phone | +1 239-425-2670 |
Authorized person
| Name | MR. CHRISTOPHER MELLEY |
| Role | CEO |
| Phone | 2394252670 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOLMES FRASER, PA | Agent | 711 5TH AVE S, SUITE 200, NAPLES, FL 34102 |
| Name | Role | Address |
|---|---|---|
| MELLEY, CHRISTOPHER | Manager | 1103 N PARROT AVENUE, OKEECHOBEE, FL 34972 |
| PETERS, CHRISTOPH | Manager | 1103 N PARROT AVENUE, OKEECHOBEE, FL 34972 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000118892 | PREFERRED CARE HOME HEALTH SERVICES | ACTIVE | 2023-09-26 | 2028-12-31 | No data | 1103 N PARROTT AVENUE, OKEECHOBEE, FL, 34972 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-22 | HOLMES FRASER, PA | No data |
| LC AMENDMENT | 2023-10-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| LC Amendment | 2023-10-11 |
| Foreign Limited | 2023-09-11 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
