| Entity Name: | APOLLO ADVANCED HOME HEALTH, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Dec 2008 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Apr 2017 (8 years ago) |
| Document Number: | P08000106473 |
| FEI/EIN Number | 26-3821624 |
| Address: | 8910 N Dale Mabry Hwy, Ste. 16, Tampa, FL 33614 |
| Mail Address: | 8910 N Dale Mabry Hwy, Ste. 16, Tampa, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972741254 | 2009-01-26 | 2018-11-27 | 8910 N. DALE MABRY HWY, SUITE 16, TAMPA, FL, 33614, US | 8910 N. DALE MABRY HWY, SUITE 16, TAMPA, FL, 33614, US | |||||||||||||||||||||||||
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| Phone | +1 813-935-5555 |
| Fax | 8139336417 |
Authorized person
| Name | MR. JOSE M MARTINEZ |
| Role | ADMINISTRATOR |
| Phone | 8139355555 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993535 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001442500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, JOSE M | Agent | 8910 N Dale Mabry Hwy, Ste. 16, Tampa, FL 33614 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, JOSE M | President | 8910 N Dale Mabry Hwy, Ste. 16 Tampa, FL 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-18 | 8910 N Dale Mabry Hwy, Ste. 16, Tampa, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-18 | 8910 N Dale Mabry Hwy, Ste. 16, Tampa, FL 33614 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-18 | 8910 N Dale Mabry Hwy, Ste. 16, Tampa, FL 33614 | No data |
| AMENDMENT | 2017-04-10 | No data | No data |
| AMENDMENT | 2011-05-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-26 |
| Amendment | 2017-04-10 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
