Entity Name: | CENTRAL CARE SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 16 Feb 2007 (18 years ago) |
Document Number: | P07000021442 |
FEI/EIN Number | 141990035 |
Address: | 2001 PALM BEACH LAKES BLVD, #300-D, WEST PALM BEACH, FL, 33409 |
Mail Address: | 2001 PALM BEACH LAKES BLVD, #300-D, WEST PALM BEACH, FL, 33409 |
ZIP code: | 33409 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003009788 | 2007-08-24 | 2018-10-22 | 2001 PALM BEACH LAKES BLVD STE 300D, WEST PALM BEACH, FL, 334096515, US | 2001 PALM BEACH LAKES BLVD STE 300D, WEST PALM BEACH, FL, 334096515, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 561-337-4338 |
Fax | 5613379025 |
Authorized person
Name | BIRGY BONNEGUE |
Role | ADMINISTRATOR/OWNER |
Phone | 5613374338 |
Taxonomy
Taxonomy Code | 163W00000X - Registered Nurse |
Is Primary | No |
Taxonomy Code | 164W00000X - Licensed Practical Nurse |
Is Primary | No |
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | No |
Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
License Number | 229958 |
State | FL |
Is Primary | No |
Taxonomy Code | 251J00000X - Nursing Care Agency |
Is Primary | Yes |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
License Number | 229958 |
State | FL |
Is Primary | No |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | No |
Taxonomy Code | 372500000X - Chore Provider |
Is Primary | No |
Taxonomy Code | 372600000X - Adult Companion |
Is Primary | No |
Taxonomy Code | 3747A0650X - Attendant Care Provider |
Is Primary | No |
Taxonomy Code | 374U00000X - Home Health Aide |
Is Primary | No |
Taxonomy Code | 376J00000X - Homemaker |
Is Primary | No |
Taxonomy Code | 376K00000X - Nurse's Aide |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 023105000 |
State | FL |
Issuer | MED-WAVIER MEDICAID |
Number | 692710696 |
State | FL |
Name | Role | Address |
---|---|---|
Bonnegue Marie C | Agent | 2001 Palm Beach Lakes Blvd, West Palm Beach, FL, 33409 |
Name | Role | Address |
---|---|---|
BONNEGUE BIRGY | President | 2001 Palm Beach Lakes Blvd, WEST PALM BEACH, FL, 33409 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2025-01-23 | Bonnegue, Birgy | No data |
REGISTERED AGENT NAME CHANGED | 2024-02-05 | Bonnegue, Marie Carmel | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-12-13 | 2001 Palm Beach Lakes Blvd, 300-D, West Palm Beach, FL 33409 | No data |
CHANGE OF MAILING ADDRESS | 2012-02-28 | 2001 PALM BEACH LAKES BLVD, #300-D, WEST PALM BEACH, FL 33409 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-02-15 | 2001 PALM BEACH LAKES BLVD, #300-D, WEST PALM BEACH, FL 33409 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-23 |
ANNUAL REPORT | 2024-02-05 |
ANNUAL REPORT | 2023-01-19 |
ANNUAL REPORT | 2022-02-18 |
ANNUAL REPORT | 2021-01-26 |
ANNUAL REPORT | 2020-01-15 |
AMENDED ANNUAL REPORT | 2019-09-09 |
AMENDED ANNUAL REPORT | 2019-05-28 |
ANNUAL REPORT | 2019-02-15 |
ANNUAL REPORT | 2018-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State