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PELICAN BLUE HOME HEALTH, INC.

Company Details

Entity Name: PELICAN BLUE HOME HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 May 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Dec 2024 (2 months ago)
Document Number: P17000041852
FEI/EIN Number 82-1221408
Address: 3875 SAN PABLO RD, #203, JACKSONVILLE, FL, 32224
Mail Address: 3875 SAN PABLO RD, #203, JACKSONVILLE, FL, 32224
ZIP code: 32224
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689108441 2017-04-18 2017-04-18 3875 SAN PABLO RD S, #203, JACKSONVILLE, FL, 322246804, US 3875 SAN PABLO RD S, #203, JACKSONVILLE, FL, 322246804, US

Contacts

Phone +1 904-418-1603

Authorized person

Name BETTY HOCKEY
Role OWNER
Phone 9044181603

Taxonomy

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

Agent

Name Role Address
HOCKEY BETTY J Agent 3875 SAN PABLO RD., JACKSONVILLE, FL, 32224

President

Name Role Address
HOCKEY BETTY J President 3875 SAN PABLO RD #203, JACKSONVILLE, FL, 32224

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000097958 PELICAN BLUE EVENTS AND FLOWERS EXPIRED 2017-08-29 2022-12-31 No data 3875 SAN PABLO RD #203, JACKSONVILLE, FL, 32224

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-12-10 No data No data
REGISTERED AGENT NAME CHANGED 2024-12-10 HOCKEY, BETTY J No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
REINSTATEMENT 2024-12-10
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-06-17
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-05-04
Domestic Profit 2017-05-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State