| Entity Name: | FLORIDA WEST HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jun 2004 (21 years ago) |
| Document Number: | P04000098798 |
| FEI/EIN Number | 141911069 |
| Address: | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL, 34952, US |
| Mail Address: | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316250152 | 2010-07-21 | 2011-09-11 | 6973 HANCOCK DR, PORT ST LUCIE, FL, 349528207, US | 6973 HANCOCK DR, PORT ST LUCIE, FL, 349528207, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 772-465-7780 |
| Fax | 7724657783 |
Authorized person
| Name | MARY ANN D PLOTRIA |
| Role | PRESIDENT/CEO |
| Phone | 7724657780 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | NR30211209 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NURSE REGISTRY |
| Number | 30211209 |
| State | FL |
| Issuer | MEDICAID WAIVER |
| Number | 688636100 |
| State | FL |
| Issuer | MEDICAID WAIVER |
| Number | 688636101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PLOTRIA RICO T | Agent | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| PLOTRIA MARY A | President | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| PLOTRIA RICO T | Director | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-05 | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-20 | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-20 | 6973 HANCOCK DRIVE, PORT ST LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-04-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
