| Entity Name: | BIG LAKE HOME HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Nov 2003 (21 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P03000127319 |
| FEI/EIN Number | 35-2218248 |
| Mail Address: | PO BOX 448, OKEECHOBEE, FL 34973 |
| Address: | 111 NE 11 STREET, OKEECHOBEE, FL 34972 |
| ZIP code: | 34972 |
| County: | Okeechobee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922018779 | 2006-08-08 | 2013-08-20 | 111 NE 11TH ST, OKEECHOBEE, FL, 349722118, US | 111 NE 11TH ST, OKEECHOBEE, FL, 349722118, US | |||||||||||||||||||||||||
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| Phone | +1 863-467-9997 |
| Fax | 8634677322 |
Authorized person
| Name | SAEED A KHAN |
| Role | ADMINISTRATOR |
| Phone | 8634679997 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 29991887 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL HOME HEALTH NUMBER |
| Number | 19964481 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NOORUDDIN, SHAHNAZ | Agent | 111 NE 11 STREET, OKEECHOBEE, FL 34972 |
| Name | Role | Address |
|---|---|---|
| KHAN, SAEED | President | PO BOX 448, OKEECHOBEE, FL 34973 |
| Name | Role | Address |
|---|---|---|
| NOORUDDIN, SHAHNAZ | Vice President | PO BOX 448, OKEECHOBEE, FL 34973 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-30 | 111 NE 11 STREET, OKEECHOBEE, FL 34972 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-30 | 111 NE 11 STREET, OKEECHOBEE, FL 34972 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-25 |
| ANNUAL REPORT | 2014-04-19 |
| ANNUAL REPORT | 2013-04-28 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
