Entity Name: | DIAL-A-NURSE OF FT. MYERS REGISTRY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 13 Dec 2002 (22 years ago) |
Document Number: | P02000131104 |
FEI/EIN Number | 030497648 |
Address: | 2180 West First Street, FORT MYERS, FL, 33901, US |
Mail Address: | 2180 W. First Street, STE. 510, Fort Myers, FL, 33901, US |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255507562 | 2008-05-06 | 2020-11-12 | DIAL-A-NURSE OF FORT MYERS REGISTRY, INC., 2180 W. FIRST ST. STE. 510, FORT MYERS, FL, 33901, US | DIAL-A-NURSE OF FORT MYERS REGISTRY, INC., 2180 W. FIRST ST. STE. 510, FORT MYERS, FL, 33901, US | |||||||||||||||||||||||||||||
|
Phone | +1 239-939-1228 |
Authorized person
Name | MR. THEODORE J. WOLFENDALE |
Role | OWNER |
Phone | 2399391228 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
License Number | 30211116 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AHCA |
Number | 30211116 |
State | FL |
Issuer | MEDICAID |
Number | 678475500 |
State | FL |
Name | Role | Address |
---|---|---|
WOLFENDALE THEODORE Esq. | Agent | 4151 Skates Circle, Fort Myers, FL, 33905 |
Name | Role | Address |
---|---|---|
Wolfendale Theodore Esq. | President | 2180 West First Street, Fort Myers, FL, 33901 |
Name | Role | Address |
---|---|---|
Wolfendale Shelley | Vice President | 2180 West First Street, Fort Myers, FL, 33901 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-04-01 | 4151 Skates Circle, Fort Myers, FL 33905 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-10-30 | 2180 West First Street, Ste. 510, FORT MYERS, FL 33901 | No data |
CHANGE OF MAILING ADDRESS | 2020-10-29 | 2180 West First Street, Ste. 510, FORT MYERS, FL 33901 | No data |
REGISTERED AGENT NAME CHANGED | 2013-08-14 | WOLFENDALE, THEODORE, Esq. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-13 |
ANNUAL REPORT | 2023-04-08 |
ANNUAL REPORT | 2022-04-01 |
ANNUAL REPORT | 2021-04-01 |
ANNUAL REPORT | 2020-06-25 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-04-04 |
ANNUAL REPORT | 2017-04-04 |
ANNUAL REPORT | 2016-03-16 |
ANNUAL REPORT | 2015-04-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State