Entity Name: | WELLNESS WAY HOME HEALTH INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Aug 2024 (6 months ago) |
Document Number: | P24000053542 |
FEI/EIN Number | 994580730 |
Address: | 2843 PEMBROKE ROAD, 2ND FLOOR, HOLLYWOOD, FL, 33020, US |
Mail Address: | 2843 PEMBROKE ROAD, 2ND FLOOR, HOLLYWOOD, FL, 33020, US |
ZIP code: | 33020 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1710711437 | 2024-08-27 | 2024-08-27 | 2114 N FLAMINGO RD, PEMBROKE PINES, FL, 330283501, US | 13385 MEMORIAL HWY, NORTH MIAMI, FL, 331613939, US | |||||||||||||||
|
Phone | +1 786-416-4730 |
Phone | +1 305-200-5767 |
Authorized person
Name | DAYANA ALCIME |
Role | NURSE PRACTITIONER |
Phone | 7864164730 |
Taxonomy
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ALCIME DAYANA | Agent | 2114 N FLAMINGO ROAD, PEMBROKE PINES, FL, 33028 |
Name | Role | Address |
---|---|---|
ALCIME DAYANA | President | 2114 N FLAMINGO ROAD, PEMBROKE, FL, 33028 |
Name | Role | Address |
---|---|---|
TOUSSAINT MARCDLINE | Vice President | 1728 NE MIAMI GARDENS DRIVE, MIAMI, FL, 33179 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-12-18 | 2843 PEMBROKE ROAD, 2ND FLOOR, SUITE 1, HOLLYWOOD, FL 33020 | No data |
CHANGE OF MAILING ADDRESS | 2024-12-18 | 2843 PEMBROKE ROAD, 2ND FLOOR, SUITE 1, HOLLYWOOD, FL 33020 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-12-03 | 1017 S 82ND ST, tampa, FL 33619 | No data |
CHANGE OF MAILING ADDRESS | 2024-12-03 | 1017 S 82ND ST, tampa, FL 33619 | No data |
Name | Date |
---|---|
Domestic Profit | 2024-08-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State