| Entity Name: | CATHOLIC HOME HEALTH SERVICES OF BROWARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 23 Jun 1988 (37 years ago) |
| Document Number: | N27112 |
| FEI/EIN Number | 650062205 |
| Address: | 4790 N. State Road 7, LAUDERDALE LAKES, FL, 33319, US |
| Mail Address: | 4790 N. State Road 7, LAUDERDALE LAKES, FL, 33319, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184679318 | 2006-05-24 | 2015-10-21 | 3075 NW 35TH AVENUE, LAUDERDALE LAKES, FL, 333111107, US | 3075 NW 35TH AVE, LAUDERDALE LAKES, FL, 333111107, US | |||||||||||||||||||||||||
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| Phone | +1 954-486-3660 |
| Fax | 9544860867 |
Authorized person
| Name | MRS. CAROL HYLTON |
| Role | ADMINISTRATOR |
| Phone | 9544863660 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA202340961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 027027000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FITZGERALD J. PATRICK Esq. | Agent | J. PATRICK FITZGERALD & ASSOCIATES, P.A., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| WORLEY, SSJ ELIZABETH ASSJ | VCSD | ARCHDIOCESE OF MIAMI, MIAMI SHORES, FL, 33138 |
| Name | Role | Address |
|---|---|---|
| LAWSON RALPH E | Chairman | 6041 NW 74 Terrace, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| LAWSON RALPH E | Director | 6041 NW 74 Terrace, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| FRICK MARY JO | President | CATHOLIC HEALTH SERVICES, INC., LAUDERDALE LAKES, FL, 33319 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000147579 | CATHOLIC HOME HEALTH SERVICES OF MIAMI-DADE COUNTY | ACTIVE | 2023-12-07 | 2028-12-31 | No data | 4790 N STATE ROAD 7, LAUDERDALE LAKES, FL, 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-03-13 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2016-03-31 | No data | No data |
| AMENDMENT | 1993-09-20 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
