Entity Name: | EXCELLENCE HOME CARE SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 28 Jun 2010 (15 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | P10000053841 |
FEI/EIN Number | 272948620 |
Address: | 3900 WOODLAKE BLVD., SUITE 200 #18, GREENACRES, FL, 33463 |
Mail Address: | 4760 MODERN DRIVE, DELRAY BEACH, FL, 33445 |
ZIP code: | 33463 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043524697 | 2010-08-05 | 2010-09-22 | 3900 WOODLAKE BLVD, SUITE 200 - 18, GREENACRES, FL, 334633044, US | 3900 WOODLAKE BLVD, SUITE 200 - 18, GREENACRES, FL, 334633044, US | |||||||||||||||
|
Phone | +1 561-963-9235 |
Fax | 5619639202 |
Authorized person
Name | DR. ERLINDA LONGALONG-COZ |
Role | PRESIDENT/ADMINISTRATOR |
Phone | 5619639235 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LONGALONG-COZ ERLINDA A | Agent | 4760 MODERN DRIVE, DELRAY BEACH, FL, 33445 |
Name | Role | Address |
---|---|---|
LONGALONG-COZ ERLINDA A | President | 4760 MODERN DRIVE, DELRAY BEACH, FL, 33445 |
Name | Role | Address |
---|---|---|
LOPEZ ELIZABETH A | Vice President | 2157 BACOM POINT RD, PAHOKEE, FL, 33476 |
Name | Role | Address |
---|---|---|
MENDOZA BLANCHE | Secretary | 205 PARK ROAD, N. ROYAL PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
MENDOZA BLANCHE | Treasurer | 205 PARK ROAD, N. ROYAL PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
LOPEZ ELIZABETH | Director | 2157 BACOM POINT RD, PAHOKEE, FL, 33476 |
DEREZ LEAH | Director | 118 CYPRESS LANE, ROYAL PALM BEACH, FL, 33411 |
CAMERON MARY A | Director | 284 PARKVIEW COURT, PAHOKEE, FL, 33476 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-05-01 | 3900 WOODLAKE BLVD., SUITE 200 #18, GREENACRES, FL 33463 | No data |
CHANGE OF MAILING ADDRESS | 2011-05-01 | 3900 WOODLAKE BLVD., SUITE 200 #18, GREENACRES, FL 33463 | No data |
REGISTERED AGENT NAME CHANGED | 2011-05-01 | LONGALONG-COZ, ERLINDA A | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-05-01 | 4760 MODERN DRIVE, DELRAY BEACH, FL 33445 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2011-05-01 |
Domestic Profit | 2010-06-28 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State