| Entity Name: | FIDELITY HOME HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jul 2004 (21 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P04000103237 |
| FEI/EIN Number | 201395552 |
| Address: | 12161 Ken Adams Way, Suite 213, WELLINGTON, FL, 33414, US |
| Mail Address: | 12161 Ken Adams Way, Suite 213, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073729661 | 2007-05-14 | 2016-10-28 | 12161 KEN ADAMS WAY, SUITE 213, WELLINGTON, FL, 334143192, US | 12161 KEN ADAMS WAY, SUITE 213, WELLINGTON, FL, 334143192, US | |||||||||||||||||||||||||
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| Phone | +1 561-868-2650 |
| Fax | 5618682651 |
Authorized person
| Name | MRS. JULIE A HIGHSMITH |
| Role | ADMINISTRATOR |
| Phone | 5618682650 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 30211207 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 688405900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HIGHSMITH JULIE A | Agent | 12161 Ken Adams Way, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| HIGHSMITH JULIE A | Director | 12161 Ken Adams Way, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-07-07 | 12161 Ken Adams Way, Suite 213, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2016-07-07 | 12161 Ken Adams Way, Suite 213, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-07-07 | 12161 Ken Adams Way, Suite 213, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-26 | HIGHSMITH, JULIE A | No data |
| NAME CHANGE AMENDMENT | 2004-07-23 | FIDELITY HOME HEALTH CARE, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-25 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-07-07 |
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-02-13 |
| ANNUAL REPORT | 2011-01-13 |
| ANNUAL REPORT | 2010-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
