Search icon

INDIGO LIGHT HEALTH INC.

Company Details

Entity Name: INDIGO LIGHT HEALTH INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Mar 2022 (3 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: P22000026600
FEI/EIN Number 88-3355567
Address: 1500 BEVILLE RD., SUITE 606-382, DAYTONA BEACH, FL, 32114
Mail Address: 2774 N. COBB PKWY, SUITE 109-329, KENNESAW, GA, 30152
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417705047 2024-05-08 2024-05-08 2774 N COBB PKWY STE 109-329, KENNESAW, GA, 301523469, US 1113 VILLA LN, BOYNTON BEACH, FL, 334358924, US

Contacts

Phone +1 786-641-9987

Authorized person

Name DAVIDA BOSTIC
Role PRESIDENT
Phone 7866419987

Taxonomy

Taxonomy Code 133NN1002X - Nutrition Education Nutritionist
Is Primary No
Taxonomy Code 163WA2000X - Administrator Registered Nurse
Is Primary No
Taxonomy Code 163WH0200X - Home Health Registered Nurse
Is Primary No
Taxonomy Code 163WN1003X - Nutrition Support Registered Nurse
Is Primary No
Taxonomy Code 171400000X - Health & Wellness Coach
Is Primary No
Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes
Taxonomy Code 332U00000X - Home Delivered Meals
Is Primary No
Taxonomy Code 374U00000X - Home Health Aide
Is Primary No
Taxonomy Code 376J00000X - Homemaker
Is Primary No
Taxonomy Code 376K00000X - Nurse's Aide
Is Primary No

Agent

Name Role Address
BOSTIC DAVIDA Agent 1500 BEVILLE RD., DAYTONA BEACH, FL, 32114

President

Name Role Address
BOSTIC DAVIDA President 1500 BEVILLE RD. SUITE 606-382, DAYTONA BEACH, FL, 32114

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2023-05-01
Domestic Profit 2022-03-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State