Entity Name: | ZORITA KOENIG HOME CARE INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 08 Aug 2017 (7 years ago) |
Document Number: | P17000066557 |
FEI/EIN Number | 82-2501285 |
Address: | 12528 BELMONT LAKES DRIVE, JACKSONVILLE, FL, 32225, US |
Mail Address: | 12528 BELMONT LAKES DRIVE, JACKSONVILLE, FL, 32225, US |
ZIP code: | 32225 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457734519 | 2015-07-07 | 2015-07-07 | 12528 BELMONT LAKES DR, JACKSONVILLE, FL, 322255968, US | 12528 BELMONT LAKES DR, JACKSONVILLE, FL, 322255968, US | |||||||||||||||||||||||||
|
Phone | +1 904-379-1146 |
Fax | 9043791146 |
Authorized person
Name | ZORITA KOENIG |
Role | PRESIDENT/OWNER |
Phone | 9043791146 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
License Number | 229024 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1447696042 |
State | FL |
Name | Role | Address |
---|---|---|
KOENIG ZORITA | Agent | 12528 BELMONT LAKES DR., JACKSONVILLE, FL, 32225 |
Name | Role | Address |
---|---|---|
KOENIG ZORITA | President | 12528 BELMONT LAKES DRIVE, JACKSONVILLE, FL, 32225 |
Name | Role | Address |
---|---|---|
KOENIG ZORITA | Treasurer | 12528 BELMONT LAKES DRIVE, JACKSONVILLE, FL, 32225 |
Name | Role | Address |
---|---|---|
KOENIG ZORITA | Secretary | 12528 BELMONT LAKES DRIVE, JACKSONVILLE, FL, 32225 |
Name | Role | Address |
---|---|---|
KOENIG ZORITA | Director | 12528 BELMONT LAKES DRIVE, JACKSONVILLE, FL, 32225 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-14 |
ANNUAL REPORT | 2023-02-13 |
ANNUAL REPORT | 2022-02-14 |
ANNUAL REPORT | 2021-02-13 |
ANNUAL REPORT | 2020-02-11 |
ANNUAL REPORT | 2019-02-18 |
ANNUAL REPORT | 2018-07-27 |
Domestic Profit | 2017-08-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State