| Entity Name: | QUALITY LIFE HOME HEALTH AGENCY, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Aug 2008 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Feb 2015 (10 years ago) |
| Document Number: | P08000080393 |
| FEI/EIN Number | 263276053 |
| Address: | 1443 DEL PRADO BLVD S, SUITE D, CAPE CORAL, FL, 33990, US |
| Mail Address: | 1443 DEL PRADO BLVD S, SUITE D, CAPE CORAL, FL, 33990, US |
| ZIP code: | 33990 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912159963 | 2008-10-21 | 2017-12-07 | 1443 DEL PRADO BLVD S STE D, CAPE CORAL, FL, 339903750, US | 1443 DEL PRADO BLVD S STE D, CAPE CORAL, FL, 339903750, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 239-829-0814 |
| Fax | 2398290822 |
Authorized person
| Name | MRS. ADDYS M. RUIZ |
| Role | PRESIDENT |
| Phone | 2398290814 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA299993507 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | 109603 |
| State | FL |
| Issuer | MEDICAID |
| Number | 003104100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUIZ ADDYS MARIA | Agent | 1443 DEL PRADO BLVD S, CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| RUIZ ADDYS M | President | 1443 DEL PRADO S, CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| RUIZ ADDYS M | Secretary | 1443 DEL PRADO S, CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| RUIZ ADDYS M | Director | 1443 DEL PRADO S, CAPE CORAL, FL, 33990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-10 | 1443 DEL PRADO BLVD S, SUITE D, CAPE CORAL, FL 33990 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-10 | 1443 DEL PRADO BLVD S, SUITE D, CAPE CORAL, FL 33990 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-10 | 1443 DEL PRADO BLVD S, SUITE D, CAPE CORAL, FL 33990 | No data |
| AMENDMENT | 2015-02-02 | No data | No data |
| AMENDMENT | 2014-08-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-08-19 | RUIZ, ADDYS MARIA | No data |
| AMENDMENT | 2013-11-18 | No data | No data |
| AMENDMENT | 2013-03-28 | No data | No data |
| AMENDMENT | 2013-01-31 | No data | No data |
| AMENDMENT | 2012-07-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-02-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
