| Entity Name: | CARE PLACEMENT HOME HEALTH AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Aug 2005 (20 years ago) |
| Document Number: | P05000108745 |
| FEI/EIN Number | 203254984 |
| Mail Address: | P. O. BOX 956, CRYSTAL BEACH, FL, 34681 |
| Address: | 905 11th St, PALM HARBOR, FL, 34683, US |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184977076 | 2012-10-17 | 2012-10-17 | PO BOX 956, CRYSTAL BEACH, FL, 346810956, US | 1215 12TH ST, PALM HARBOR, FL, 346834014, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 727-787-8677 |
Authorized person
| Name | MS. RUTH FANOVICH |
| Role | PRESIDENT |
| Phone | 7277878677 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 299992330 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| FANOVICH RUTH | Director | 905 11th St, PALM HARBOR, FL, 34683 |
| Khokhar Waqas | Director | 905 11th St, PALM HARBOR, FL, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-22 | Registered Agents Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 7901 4th Street, Suite 300, St. Petersburg, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 905 11th St, PALM HARBOR, FL 34683 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| AMENDED ANNUAL REPORT | 2023-07-26 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
