| Entity Name: | EXPRESS PENSACOLA HHA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Apr 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P12000034705 |
| FEI/EIN Number | 80-0804623 |
| Address: | 910 AIRPORT RD., SUITE A1, DESTIN, FL, 32541 |
| Mail Address: | 3911 NEWBERRY RD., SUITE B, GAINESVILLE, FL, 32607 |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376893891 | 2012-09-12 | 2012-09-12 | 910 AIRPORT RD, SUITE A1, DESTIN, FL, 325412805, US | 910 AIRPORT RD, SUITE A1, DESTIN, FL, 325412805, US | |||||||||||||||||||
|
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| Phone | +1 850-460-2108 |
| Fax | 8504602106 |
Authorized person
| Name | MR. ANTHONY A KALISHMAN |
| Role | VP |
| Phone | 3523281607 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994035 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KALISHMAN Sherri R | Agent | 3911 NEWBERRY RD., GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| KALISHMAN SHERRI R | President | 3911 NEWBERRY RD., SUITE B, GAINESVILLE, FL, 32607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000034680 | CHAMPION HOME HEALTH CARE | EXPIRED | 2012-04-11 | 2017-12-31 | No data | 3911 NEWBERRY RD., SUITE B, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-04 | KALISHMAN, Sherri R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-04 |
| ANNUAL REPORT | 2013-01-24 |
| Domestic Profit | 2012-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
