| Entity Name: | DIRECT CARE HOME HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Aug 2006 (18 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P06000111749 |
| FEI/EIN Number | 205637648 |
| Address: | 1361 ROYAL PALM SQUARE BLVD., STE. 3, FORT MYERS, FL, 33919 |
| Mail Address: | 1361 ROYAL PALM SQUARE BLVD., STE. 3, FORT MYERS, FL, 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700938206 | 2007-01-17 | 2011-03-30 | 1361 ROYAL PALM SQUARE BLVD STE 3, FORT MYERS, FL, 339191009, US | 1361 ROYAL PALM SQUARE BLVD STE 3, FORT MYERS, FL, 339191009, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 239-337-9940 |
| Fax | 2393379941 |
Authorized person
| Name | MRS. PAULA J WUNDERLICH |
| Role | ADMINISTRATOR |
| Phone | 2393379940 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992622 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | 299992622 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIRECT CARE HOME HEALTH 401(K) PLAN & TRUST | 2015 | 205637648 | 2016-10-17 | DIRECT CARE HOME HEALTH, INC. | 10 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2016-10-17 |
| Name of individual signing | DAVID L. WUNDERLICH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 2393379940 |
| Plan sponsor’s address | 1361 ROYAL PALM SQUARE BLVD., SUITE 3, FORT MYERS, FL, 33919 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-13 |
| Name of individual signing | PAULA J. WUNDERLICH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WUNDERLICH DAVID L | Agent | 1361 ROYAL PALM SQ BLVD #3, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| WUNDERLICH DAVID L | President | 1361 ROYAL PALM SQ BLVD #3, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| WUNDERLICH DAVID L | Director | 1361 ROYAL PALM SQ BLVD #3, FORT MYERS, FL, 33919 |
| WUNDERLICH PAULA J | Director | 1361 ROYAL PALM SQ BLVD #3, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| WUNDERLICH PAULA J | Vice President | 1361 ROYAL PALM SQ BLVD #3, FORT MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-11 | 1361 ROYAL PALM SQUARE BLVD., STE. 3, FORT MYERS, FL 33919 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-11 | 1361 ROYAL PALM SQUARE BLVD., STE. 3, FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-28 | 1361 ROYAL PALM SQ BLVD #3, FORT MYERS, FL 33919 | No data |
| AMENDMENT | 2007-04-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-03 | WUNDERLICH, DAVID L | No data |
| AMENDMENT | 2006-10-19 | No data | No data |
| ARTICLES OF CORRECTION | 2006-08-29 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15001010327 | LAPSED | 08-298-D7 | LEON | 2015-10-02 | 2020-11-19 | $5,890.20 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-05-12 |
| ANNUAL REPORT | 2013-04-13 |
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-04-28 |
| ADDRESS CHANGE | 2011-03-25 |
| AC | 2011-02-28 |
| FEI# | 2010-09-02 |
| FEI# | 2010-08-30 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-05-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
