| Entity Name: | LIGHTHOUSE HOME HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Oct 2005 (19 years ago) |
| Date of dissolution: | 02 Apr 2024 (10 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Apr 2024 (10 months ago) |
| Document Number: | P05000144675 |
| FEI/EIN Number | 90-0455423 |
| Address: | 2047 SE Monroe Street, Stuart, FL 34951 |
| Mail Address: | 2047 SE Monroe Street, Stuart, FL 34951 |
| ZIP code: | 34951 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174786701 | 2008-07-03 | 2008-07-03 | 800 VIRGINIA AVE, S38K, FORT PIERCE, FL, 349825829, US | 800 VIRGINIA AVE, S38K, FORT PIERCE, FL, 349825829, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-466-9199 |
| Fax | 7724664776 |
Authorized person
| Name | MS. CHRYSTAL LYNN BAKER |
| Role | ADMINISTRATOR |
| Phone | 7724669199 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 30211217 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1891839437 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1073657169 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1578774543 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAKER, CHRYSTAL L | Agent | 2047 SE Monroe Street, Stuart, FL 34951 |
| Name | Role | Address |
|---|---|---|
| Baker, Chrystal L | President | 2047 SE Monroe Street, Stuart, FL 34997 |
| Name | Role | Address |
|---|---|---|
| MORALES, FELICIA F | Vice President | 1446 19th Street SW, VERO BEACH, FL 32962 |
| Name | Role | Address |
|---|---|---|
| MORALES, FELICIA F | Secretary | 1446 19TH STREET SW, VERO BEACH, FL 32962 |
| Name | Role | Address |
|---|---|---|
| Baker, Chrystal L | Treasurer | 2047 SE Monroe Street, Stuart, FL 34997 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000174292 | LIGHTHOUSE HOME HEALTH CARE, INC. | EXPIRED | 2009-11-11 | 2014-12-31 | No data | 800 VIRGINIA AVENUE SUITE 55, FORT PIERCE, FL, 34982 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-31 | 2047 SE Monroe Street, Stuart, FL 34951 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-31 | 2047 SE Monroe Street, Stuart, FL 34951 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-31 | 2047 SE Monroe Street, Stuart, FL 34951 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-01 | BAKER, CHRYSTAL L | No data |
| AMENDMENT AND NAME CHANGE | 2006-06-13 | LIGHTHOUSE HOME HEALTH CARE, INC. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-02 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-03-12 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
