| Entity Name: | LIFELINE HEALTH CARE OF SOUTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Aug 1996 (28 years ago) |
| Document Number: | P96000068243 |
| FEI/EIN Number | 311564165 |
| Mail Address: | 600 CLIFTY ST, SOMERSET, KY, 42503, US |
| Address: | 99198 OVERSEAS HWY., 7, KEY LARGO, FL, 33037, US |
| ZIP code: | 33037 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811006638 | 2006-08-29 | 2020-08-22 | 600 CLIFTY ST, SOMERSET, KY, 425031733, US | 13365 OVERSEAS HWY STE 104, MARATHON, FL, 330503513, US | |||||||||||||||||||||||
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| Phone | +1 606-679-4100 |
| Fax | 6066787306 |
| Phone | +1 305-743-9817 |
| Fax | 3057439873 |
Authorized person
| Name | MR. JAMES T. WILSON |
| Role | CEO |
| Phone | 6066794100 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 21872096 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CFRA, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| WILSON JAMES T | Chairman | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Name | Role | Address |
|---|---|---|
| WILSON JAMES T | Chief Executive Officer | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Name | Role | Address |
|---|---|---|
| FRAZER JAMES M | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| WEDDLE RICHARD D | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| SINCLAIR KEITH G | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| RUDDEN SHARON | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| HURST LAWRENCE T | Director | 10535 KING STREET, OVERLAND PARK, KS, 66214 |
| Name | Role | Address |
|---|---|---|
| FRAZER JAMES M | President | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Name | Role | Address |
|---|---|---|
| WEDDLE RICHARD D | Secretary | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Name | Role | Address |
|---|---|---|
| WEDDLE RICHARD D | Treasurer | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-09-04 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
