| Entity Name: | CCP HEALTH AND HOME CARE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Dec 2008 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Nov 2022 (2 years ago) |
| Document Number: | P08000105291 |
| FEI/EIN Number | 800415870 |
| Address: | 5230 SOUTH UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL, 33328, US |
| Mail Address: | 5230 SOUTH UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679895098 | 2010-02-26 | 2024-03-14 | 5230 S UNIVERSITY DR STE 103D, DAVIE, FL, 333285319, US | 4801 S UNIVERSITY DRIVE, SUITE 206, DAVIE, FL, 333283837, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 954-651-6057 |
| Fax | 9546516058 |
Authorized person
| Name | WINSTON BRAMWELL |
| Role | OWNER/ADMINISTRATOR |
| Phone | 9546516057 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | 30211434 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 121359500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRAMWELL WINSTON | Agent | 5230 SOUTH UNIVERSITY DRIVE, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| BRAMWELL WINSTON | President | 5230 S UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| BRAMWELL WINSTON | Director | 5230 S UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL, 33328 |
| HIGGIN-BRAMWELL GRACE | Director | 5230 S UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| HIGGIN-BRAMWELL GRACE | Vice President | 5230 S UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL, 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000056408 | COMPLETE CARE PROVIDER | EXPIRED | 2016-06-08 | 2021-12-31 | No data | 4801 SOUTH UNIVERSITY DRIVE, SUITE 247, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-11-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-11-01 | BRAMWELL, WINSTON | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-11-29 | 5230 SOUTH UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL 33328 | No data |
| AMENDMENT | 2018-11-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-08 | 5230 SOUTH UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL 33328 | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-08 | 5230 SOUTH UNIVERSITY DRIVE, SUITE 103-D, DAVIE, FL 33328 | No data |
| NAME CHANGE AMENDMENT | 2016-05-26 | CCP HEALTH AND HOME CARE SERVICES, INC. | No data |
| AMENDMENT AND NAME CHANGE | 2014-07-29 | COMPLETER CARE PROVIDER, INC. | No data |
| AMENDMENT | 2011-02-09 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2009-07-08 | CCP HEALTH AND HOME CARE SERVICES, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-14 |
| Amendment | 2022-11-01 |
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-23 |
| Amendment | 2018-11-29 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
