| Entity Name: | EXCELSIOR COACHING SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Oct 2007 (17 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P07000115047 |
| Address: | 942 BELVOIR DR., DAVENPORT, FL, 33837, US |
| Mail Address: | 942 BELVOIR DR., DAVENPORT, FL, 33837, US |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104091420 | 2008-04-28 | 2008-04-28 | 942 BELVOIR DR, DAVENPORT, FL, 338378227, US | 942 BELVOIR DR, DAVENPORT, FL, 338378227, US | |||||||||||||||||||||
|
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| Phone | +1 863-618-8839 |
| Fax | 8635941375 |
Authorized person
| Name | EFFRED W LOUIS |
| Role | PRESIDENT |
| Phone | 8636188839 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 6935711 98 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOUIS EFFRED W. | Agent | 942 BELVOIR DR., DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| LOUIS EFFRED W. | Owner | 942 BELVOIR DR., DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| LOUIS EFFRED W. | President | 942 BELVOIR DR., DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| LOUIS JOAN L. | Director | 942 BELVOIR DR., DAVENPORT, FL, 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2007-10-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
