| Entity Name: | T.L.C. NURSING REGISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Feb 2002 (23 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Jan 2019 (6 years ago) |
| Document Number: | P02000020940 |
| FEI/EIN Number | 753015587 |
| Address: | 2514 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020, US |
| Mail Address: | 2514 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020, US |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124764428 | 2022-05-09 | 2023-05-02 | 2514 HOLLYWOOD BLVD STE 508, HOLLYWOOD, FL, 330206635, US | 9990 COCONUT ROAD, SUITE 318, BONITA SPRINGS, FL, 34135, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 954-964-5500 |
| Fax | 9549645511 |
Authorized person
| Name | FARID SAHARI |
| Role | OWNER |
| Phone | 9549645500 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024540600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 117430800 |
| State | FL |
| Name | Role |
|---|---|
| RALPH KENOL, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| Sahari Farid | President | 2514 Hollywood Blvd, HOLLYWOOD, FL, 33020 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000104886 | TLC FINGERPRINT | EXPIRED | 2019-09-25 | 2024-12-31 | No data | 2514 HOLLYWOOD BLVD SUITE 508, HOLLYWOOD, FL, 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-01-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-11-03 | 2514 HOLLYWOOD BLVD, SUITE 508, HOLLYWOOD, FL 33020 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-11-03 | 2514 HOLLYWOOD BLVD, SUITE 508, HOLLYWOOD, FL 33020 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-05-06 | 2514 HOLLYWOOD BOULEVARD, SUITE 205, HOLLYWOOD, FL 33020 | No data |
| AMENDMENT | 2016-05-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-05-06 | RALPH KENOL, P.A. | No data |
| AMENDMENT | 2013-10-25 | No data | No data |
| CANCEL ADM DISS/REV | 2003-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| NAME CHANGE AMENDMENT | 2002-04-29 | T.L.C. NURSING REGISTRY, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-06 |
| Amendment | 2019-01-28 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
