| Entity Name: | 1ST CLASS HOME HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 May 2005 (20 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P05000068339 |
| FEI/EIN Number | 522459433 |
| Address: | 1414 NW 107 AVE, 114, DORAL, FL, 33172, US |
| Mail Address: | 1414 NW 107 AVE, 114, DORAL, FL, 33172, US |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730259656 | 2006-11-08 | 2015-10-12 | 1414 NW 107TH AVE, SUITE 114, DORAL, FL, 331722732, US | 1414 NW 107TH AVE, SUITE 114, DORAL, FL, 331722732, US | |||||||||||||||||||||||||
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| Phone | +1 305-513-3885 |
| Fax | 3055134061 |
Authorized person
| Name | CARLOS TORREZ QUINTANA |
| Role | ADMINISTRATOR |
| Phone | 3055133885 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992238 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 6512771 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TORRES QUINTANA CARLOS | Agent | 1414 NW 107 AVE, DORAL, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| TORRES QUINTANA CARLOS | Director | 1414 NW 107 AVE, DORAL, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| TORRES QUINTANA CARLOS | President | 1414 NW 107 AVE, DORAL, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| TORRES QUINTANA CARLOS | Secretary | 1414 NW 107 AVE, DORAL, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| DIAZ CAPOTE ARLEX | Vice President | 1414 NW 107 AVENUE, DORAL, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT | 2015-10-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-08-05 | TORRES QUINTANA, CARLOS | No data |
| AMENDMENT | 2015-08-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-12 | 1414 NW 107 AVE, 114, DORAL, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-12 | 1414 NW 107 AVE, 114, DORAL, FL 33172 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-12 | 1414 NW 107 AVE, 114, DORAL, FL 33172 | No data |
| Name | Date |
|---|---|
| Amendment | 2015-10-23 |
| Amendment | 2015-08-05 |
| ANNUAL REPORT | 2015-02-17 |
| ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-03-06 |
| ANNUAL REPORT | 2011-02-09 |
| ANNUAL REPORT | 2010-02-03 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
