| Entity Name: | KC WELLNESS NURSE REGISTRY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 31 Dec 2013 (11 years ago) |
| Document Number: | N14000000063 |
| FEI/EIN Number | 46-4429048 |
| Mail Address: | 880 SW 190TH AVE, PEMBROKE PINES, FL, 33029 |
| Address: | 1900 N UNIVERSITY DR, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396137980 | 2015-02-19 | 2021-02-19 | 880 SW 190TH AVE, PEMBROKE PINES, FL, 330296057, US | 1900 N UNIVERSITY DR STE 102, PEMBROKE PINES, FL, 330243618, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-560-9766 |
| Fax | 9543232449 |
Authorized person
| Name | KAREN CURTIS |
| Role | PRESIDENT |
| Phone | 9545609766 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QV0200X - VA Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CURTIS KAREN | Agent | 880 SW 190TH AVE, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| CURTIS KAREN | Director | 880 SW 190TH AVE, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| CURTIS KAREN | President | 880 SW 190TH AVE, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-14 | 1900 N UNIVERSITY DR, 102, PEMBROKE PINES, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-24 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-09 |
| ANNUAL REPORT | 2015-02-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
