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CHAMPION CAREGIVERS, INC.

Company Details

Entity Name: CHAMPION CAREGIVERS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Dec 2009 (15 years ago)
Date of dissolution: 28 Dec 2022 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Dec 2022 (2 years ago)
Document Number: P09000099358
FEI/EIN Number 270512128
Address: 7601 N. FEDERAL HIGHWAY, SUITE 225-A, BOCA RATON, FL, 33487, US
Mail Address: 7601 N. FEDERAL HIGHWAY, SUITE 225-A, BOCA RATON, FL, 33487, US
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508142274 2011-10-26 2011-10-26 1801 CLINT MOORE RD, SUITE 104, BOCA RATON, FL, 334872752, US 1801 CLINT MOORE RD, SUITE 104, BOCA RATON, FL, 334872752, US

Contacts

Phone +1 561-347-0440

Authorized person

Name EDITH KIMBERLY CHAMPION
Role PRESIDENT
Phone 5613470440

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 30211446
State FL
Is Primary Yes

Agent

Name Role Address
CHAMPION EDITH KPreside Agent 7601 N. FEDERAL HIGHWAY, BOCA RATON, FL, 33487

President

Name Role Address
CHAMPION EDITH K President 7601 N. FEDERAL HIGHWAY, BOCA RATON, FL, 33487

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000018012 CHAMPION HOME HEALTH CARE ACTIVE 2017-02-17 2027-12-31 No data 3247 NW 60 ST, SUITE 225-A, BOCA RATON, FL, 33496
G09000183214 CHAMPION HOME HEALTH CARE EXPIRED 2009-12-10 2014-12-31 No data 1801 CLINT MOORE RD., #104, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-12-28 No data No data
REGISTERED AGENT NAME CHANGED 2021-01-28 CHAMPION, EDITH KIMBERLY, President No data
REGISTERED AGENT ADDRESS CHANGED 2014-02-28 7601 N. FEDERAL HIGHWAY, SUITE 225-A, BOCA RATON, FL 33487 No data
CHANGE OF PRINCIPAL ADDRESS 2012-02-24 7601 N. FEDERAL HIGHWAY, SUITE 225-A, BOCA RATON, FL 33487 No data
CHANGE OF MAILING ADDRESS 2012-02-24 7601 N. FEDERAL HIGHWAY, SUITE 225-A, BOCA RATON, FL 33487 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-12-28
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-03-03
ANNUAL REPORT 2014-02-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State