| Entity Name: | TRUST HEALING & RELIABLE NURSE REGISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Mar 2021 (4 years ago) |
| Document Number: | P21000031535 |
| FEI/EIN Number | 86-3165675 |
| Address: | 3800 INVERRARY BLVD, SUITE 400-H, LAUDERHILL, FL, 33319, US |
| Mail Address: | 3800 INVERRARY BLVD, SUITE 400-H, LAUDERHILL, FL, 33319, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457921066 | 2021-06-26 | 2024-01-18 | 3800 INVERRARY BLVD STE 400H, LAUDERHILL, FL, 333194359, US | 3800 INVERRARY BLVD STE 400H, LAUDERHILL, FL, 333194359, US | |||||||||||||||||||||||||
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| Phone | +1 786-545-6077 |
| Fax | 9542524702 |
Authorized person
| Name | RECHELLE BLAKEMORE-GONZALEZ |
| Role | ADMINSTRATOR |
| Phone | 3056091083 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | 30212588 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BLAKEMORE GONZALEZ RECHELLE | Agent | 3800 INVERRARY BLVD, SUITE 400-H, LAUDERHILL, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| BLAKEMORE GONZALEZ RECHELLE | President | 7513 SW 188TH TERRACE, CUTER BAY, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| BENCOSME HELEN | Vice President | 4915 SW 148TH PLACE, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| SAIEH TARJIE | Chief Operating Officer | 2411 N. 59TH TERRACE, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 3800 INVERRARY BLVD, SUITE 400-H, LAUDERHILL, FL 33319 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-17 | 3800 INVERRARY BLVD, SUITE 400-H, LAUDERHILL, FL 33319 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-17 | 3800 INVERRARY BLVD, SUITE 400-H, LAUDERHILL, FL 33319 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-25 | BLAKEMORE GONZALEZ, RECHELLE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-02-25 |
| Domestic Profit | 2021-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
