| Entity Name: | PEPPERMINT PALM HOME HEALTH CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Aug 2023 (a year ago) |
| Document Number: | P23000062193 |
| FEI/EIN Number | 933098264 |
| Address: | 11650 SE 92ND CT, BELLEVIEW, FL, 34420, US |
| Mail Address: | 9800 SE 163rd lane, summerfield, FL, 34491, US |
| ZIP code: | 34420 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932984184 | 2023-08-28 | 2023-08-28 | 10017 FEDERALIST LN, SACRAMENTO, CA, 958271934, US | 9800 SE 163RD LN, SUMMERFIELD, FL, 344915948, US | |||||||||||||||||||
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| Phone | +1 916-212-9987 |
| Fax | 8889626462 |
Authorized person
| Name | MR. ALFEAR NELSON WRIGHT |
| Role | PRESIDENT |
| Phone | 9162129987 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WRIGHT ALFEAR | Agent | 9800 SE 163RD LANE, SUMMERFIELD, FL, 34491 |
| Name | Role | Address |
|---|---|---|
| Robertson lasonya | President | 9800 SE 163TFD LANE, SUMMERFIELD, FL, 34491 |
| Name | Role | Address |
|---|---|---|
| wright alfear | Vice President | 9800 SE 163RD LANE, SUMMERFIELD, FL, 34491 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-25 | 11650 SE 92ND CT, BELLEVIEW, FL 34420 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Domestic Profit | 2023-08-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
