| Entity Name: | COAST TO COAST HEALTHCARE SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 May 2002 (23 years ago) |
| Document Number: | P02000058224 |
| FEI/EIN Number | 01-0702508 |
| Address: | 561 NW 183 STREET, MIAMI, FL 33169 |
| Mail Address: | 561 NW 183 STREET, MIAMI, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932717238 | 2020-07-22 | 2020-11-20 | 900 NW 13TH ST STE 302-1, BOCA RATON, FL, 334862335, US | 900 NW 13TH ST STE 302-1, BOCA RATON, FL, 334862335, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-999-9295 |
| Fax | 3059999259 |
Authorized person
| Name | JUDY JACKSON |
| Role | PRESIDENT |
| Phone | 3059999295 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| 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 | 108375300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 687228001 |
| State | FL |
| Issuer | MEDICAID WAIVER |
| Number | 687228096 |
| State | FL |
| Issuer | MEDICAID |
| Number | 687228003 |
| State | FL |
| Issuer | MEDICAID WAIVER |
| Number | 687228004 |
| State | FL |
| Issuer | MEDICAID |
| Number | 687228006 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LINDO, ANDREA A | Agent | 1866 NW 94TH AVENUE, PLANTATION, FL 33322-5625 |
| Name | Role | Address |
|---|---|---|
| JACKSON, JUDY P | President | 800 NE 195 STREET #107, N. MIAMI, FL 33179 |
| Name | Role | Address |
|---|---|---|
| JACKSON, JUDY P | Director | 800 NE 195 STREET #107, N. MIAMI, FL 33179 |
| LINDO, ANDREA | Director | 1866 NW 94TH AVENUE, PLANTATION, FL 33322-5625 |
| ARRINGTON, JENNIFER | Director | 7730 VILLA NOVA DR, BOCA RATON, FL 33433 |
| Thompson, Patryse | Director | 9003 Vineyard Lake Dr., Plantation, FL 33324 |
| Name | Role | Address |
|---|---|---|
| LINDO, ANDREA | Vice President | 1866 NW 94TH AVENUE, PLANTATION, FL 33322-5625 |
| ARRINGTON, JENNIFER | Vice President | 7730 VILLA NOVA DR, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| JACKSON, JUDY P | Secretary | 800 NE 195 STREET #107, N. MIAMI, FL 33179 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000006221 | CTC COMPANION SERVICES | ACTIVE | 2020-01-14 | 2025-12-31 | No data | 900 NW 13TH STREET, SUITE 302-1, BOCA RATON, FL, 33486 |
| G08260900277 | COAST TO COAST HOMEMAKER AND COMPANION SERVICES | EXPIRED | 2008-09-16 | 2013-12-31 | No data | 561 NW 183RD ST, MIAMI GARDENS, FL, 33169 |
| G08259900434 | COAST TO COAST COMPANION SERVICES | EXPIRED | 2008-09-15 | 2013-12-31 | No data | 561 NW 183RD ST, MIAMI, FL, 33169 |
| G08183900292 | COAST TO COAST STAFFING SERVICES | EXPIRED | 2008-07-01 | 2013-12-31 | No data | 800 SOUTH EUSTIS STREET, SUITE # A101, EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-16 | 1866 NW 94TH AVENUE, PLANTATION, FL 33322-5625 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-10 | LINDO, ANDREA A | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-08 | 561 NW 183 STREET, MIAMI, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-08 | 561 NW 183 STREET, MIAMI, FL 33169 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| AMENDED ANNUAL REPORT | 2024-05-15 |
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-03-17 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
