| Entity Name: | DPS HOME HEALTH AGENCY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Jun 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Dec 2013 (11 years ago) |
| Document Number: | P07000066087 |
| FEI/EIN Number | 260166694 |
| Address: | 5725 CORPORATE WAY, SUITE 201, WEST PALM BEACHB, FL, 33407, US |
| Mail Address: | 5725 CORPORATE WAY, SUITE 201, WEST PALM BEACHB, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710157656 | 2008-03-06 | 2014-02-26 | 5725 CORPORATE WAY STE 201, SUITE 102, WEST PALM BEACH, FL, 334072038, US | 5725 CORPORATE WAY SUITE 201, SUITE 201, WEST PALM BEACH, FL, 334072856, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-337-4454 |
| Fax | 5613375027 |
Authorized person
| Name | MRS. MARIE CLAUDE DORVAL |
| Role | ADMINISTRATOR |
| Phone | 5613374454 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993038 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE |
| Number | 299993038 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000097200 |
| State | FL |
| Issuer | AHCA -DPSHHA900 |
| Number | HHA299993038 |
| State | FL |
| Name | Role |
|---|---|
| KAY HOLDING, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| DOWNS MICHAEL | President | 5725 Corporate Way, West Palm Beach, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| DOWNS MICHAEL | Director | 5725 Corporate Way, West Palm Beach, FL, 33470 |
| Heuberger Patricia A | Director | 5725 Corporate Way, Ste 201, West Palm Beach, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| Heuberger Patricia A | Vice President | 5725 Corporate Way, Ste 201, West Palm Beach, FL, 33407 |
| Name | Role |
|---|---|
| KAY HOLDING, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-07 | Kay Holding LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-10 | 5725 Corporate Way, 201, West Palm Beach, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2013-12-20 | 5725 CORPORATE WAY, SUITE 201, WEST PALM BEACHB, FL 33407 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-12-20 | 5725 CORPORATE WAY, SUITE 201, WEST PALM BEACHB, FL 33407 | No data |
| AMENDMENT | 2013-12-20 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2013-05-24 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2012-02-24 | DPS HOME HEALTH AGENCY, INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-05-24 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-01-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3780077302 | 2020-04-29 | 0455 | PPP | 5725 Corporate Way Ste 201, West Palm Beach, FL, 33407 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3705698503 | 2021-02-24 | 0455 | PPS | 5725 Corporate Way Ste 201, West Palm Beach, FL, 33407-2003 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
