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 |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
BOSTIC DAVIDA | Agent | 1500 BEVILLE RD., DAYTONA BEACH, FL, 32114 |
Name | Role | Address |
---|---|---|
BOSTIC DAVIDA | President | 1500 BEVILLE RD. SUITE 606-382, DAYTONA BEACH, FL, 32114 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-05-01 |
Domestic Profit | 2022-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State