| Entity Name: | INNOVATION HOME HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Dec 2005 (19 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Mar 2013 (12 years ago) |
| Document Number: | P05000165447 |
| FEI/EIN Number | 203986967 |
| Address: | 14628 SW 8TH STREET, MIAMI, FL, 33184 |
| Mail Address: | 14628 SW 8TH STREET, MIAMI, FL, 33184 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285682062 | 2006-05-04 | 2023-11-04 | 14628 SW 8TH ST, MIAMI, FL, 331843135, US | 14628 SW 8TH ST, MIAMI, FL, 331843135, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-592-3192 |
| Fax | 3055923191 |
Authorized person
| Name | YITSY M CORES |
| Role | ADMINISTRATOR |
| Phone | 3055923192 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992382 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 691941396 |
| State | FL |
| Issuer | MEDICAID |
| Number | 651625400 |
| State | FL |
| Issuer | AHCA STATE LICENSE |
| Number | 299992382 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORES YITSY | Agent | 14628 SW 8TH ST, Miami, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| CORES YITSY | President | 14628 SW 8TH STREET, MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| CORES RICHARD A | Chief Financial Officer | 14628 SW 8 STREET, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-03-29 | CORES, YITSY | No data |
| AMENDMENT | 2013-03-04 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-28 | 14628 SW 8TH ST, Miami, FL 33184 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-11-13 | 14628 SW 8TH STREET, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2012-11-13 | 14628 SW 8TH STREET, MIAMI, FL 33184 | No data |
| AMENDMENT | 2009-09-09 | No data | No data |
| AMENDMENT | 2007-12-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
