| Entity Name: | FAITH HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Apr 2013 (12 years ago) |
| Date of dissolution: | 29 Nov 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Nov 2014 (10 years ago) |
| Document Number: | P13000036590 |
| FEI/EIN Number | 46-2675034 |
| Address: | 1301 NW 89TH DRIVE, CORAL SPRINGS, FL, 33071 |
| Mail Address: | 1301 NW 89TH DRIVE, CORAL SPRINGS, FL, 33071 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265847826 | 2014-06-23 | 2014-06-23 | 1301 NW 89TH DR, CORAL SPRINGS, FL, 330716606, US | 1301 NW 89TH DR, CORAL SPRINGS, FL, 330716606, US | |||||||||||||||||||||||
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| Phone | +1 954-656-1607 |
Authorized person
| Name | MRS. MARJORIE THOMPSON |
| Role | ADMINISTRATOR |
| Phone | 9546561607 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 232272 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005836900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMPSON MARJORIE | Agent | 1301 NW 89TH DRIVE, CORAL SPRINGS, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| THOMPSON MARJORIE | President | 1301 NW 89TH DRIVE, CORAL SPRINGS, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| THOMPSON MARJORIE | Director | 1301 NW 89TH DRIVE, CORAL SPRINGS, FL, 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-11-29 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-11-29 |
| AMENDED ANNUAL REPORT | 2014-09-19 |
| ANNUAL REPORT | 2014-04-14 |
| Domestic Profit | 2013-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
