| Entity Name: | JOHANNE SAJOUS HHCSR INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Jan 2020 (5 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P20000002791 |
| FEI/EIN Number | 27-3618853 |
| Address: | 9351 PINTO DRIVE, LAKE WORTH, FL, 33467, US |
| Mail Address: | 2627 Grimsley Street, GREENSBORO, NC, 27403, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134760770 | 2019-10-04 | 2021-11-03 | 2627 GRIMSLEY ST, GREENSBORO, NC, 274033135, US | 9351 PINTO DR, LAKE WORTH, FL, 334671035, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 336-279-1227 |
| Fax | 3362791226 |
| Phone | +1 571-432-6769 |
Authorized person
| Name | MRS. FARAH EDWIDGE JOHANNE SAJOUS |
| Role | OWNER |
| Phone | 5714326769 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LC1500X - Community Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0200X - Pediatric Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SAJOUS FARAH | Agent | 9351 PINTO DRIVE, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| SAJOUS FARAH E | President | 9351 PINTO DRIVE, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-02-01 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-01 | 9351 PINTO DRIVE, LAKE WORTH, FL 33467 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-01 | SAJOUS, FARAH | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-02-01 |
| Domestic Profit | 2020-01-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
