| Entity Name: | QUALITY LIFE CARE HOME HEALTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Nov 2020 (4 years ago) |
| Document Number: | P20000091310 |
| FEI/EIN Number | 85-3904176 |
| Address: | 2101 VISTA PARK, WEST PALM BEACH, FL, 33411, US |
| Mail Address: | 2101 VISTA PARK, WEST PALM BEACH, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144815507 | 2021-03-07 | 2023-09-06 | 2101 VISTA PKWY STE 275, WEST PALM BEACH, FL, 334112706, US | 2101 VISTA PKWY STE 115, WEST PALM BEACH, FL, 334112706, US | |||||||||||||||||||||
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| Phone | +1 561-635-1197 |
| Fax | 8777880285 |
Authorized person
| Name | AYMEE FROMETA |
| Role | ADMINISTRATOR, PRESIDENT |
| Phone | 5616351197 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | 299995321 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FROMETA AYMEE | Agent | 13105 BELHAVEN CT, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| FROMETA AYMEE | President | 13105 BELHAVEN CT 20, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| PEREZ ANIA | Vice President | 2204 DEER RUN TRAIL, LOXAHATCHEE, FL, 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-10 | 2101 VISTA PARK, SUITE 115, WEST PALM BEACH, FL 33411 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-10 | 2101 VISTA PARK, SUITE 115, WEST PALM BEACH, FL 33411 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-10 | 13105 BELHAVEN CT, Apt 20, WELLINGTON, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| AMENDED ANNUAL REPORT | 2023-08-10 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-22 |
| Domestic Profit | 2020-11-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
