| Entity Name: | PRODIGY HOME HEALTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 May 2005 (20 years ago) |
| Date of dissolution: | 25 Feb 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Feb 2011 (14 years ago) |
| Document Number: | P05000069794 |
| FEI/EIN Number | 760792122 |
| Address: | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| Mail Address: | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| ZIP code: | 32534 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235373382 | 2009-04-20 | 2009-04-21 | 16945 GLEN OAKS DR, COUNTRY CLUB HILLS, IL, 604782149, US | 7601 COBB LN, PENSACOLA, FL, 325344264, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 708-267-0032 |
| Phone | +1 850-475-1859 |
Authorized person
| Name | MS. CHERYL AMUZU |
| Role | ADMINISTRATOR |
| Phone | 7082670032 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 690055196 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMUZU CHERYL | Agent | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| AMUZU CHERYL | President | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| AMUZU KATHLEEN | Vice President | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| AMUZU KATHLEEN | Secretary | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| AMUZU KATHLEEN | Treasurer | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| THOMPSON REBECCA | Director | 7601 COBB LANE, PENSACOLA, FL, 32534 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-02-25 | No data | No data |
| CANCEL ADM DISS/REV | 2009-05-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-02-25 |
| ANNUAL REPORT | 2010-01-16 |
| CORAPREIWP | 2009-05-07 |
| Domestic Profit | 2005-05-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
