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  5. PREMIER TOTAL HEALTHCARE, INC.

PREMIER TOTAL HEALTHCARE, INC.

Company Details

Entity Name: PREMIER TOTAL HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Sep 1997 (27 years ago)
Last Event: AMENDMENT
Event Date Filed: 21 Jun 2010 (15 years ago)
Document Number: P97000078369
FEI/EIN Number 650903660
Address: 2415 Hollywood Blvd, Hollywood, FL, 33020, US
Mail Address: 2415 Hollywood Blvd, Hollywood, FL, 33020, US
ZIP code: 33020
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508969536 2006-09-06 2020-08-22 1250 E HALLANDALE BEACH BLVD, 2ND FLOOR, HALLANDALE BEACH, FL, 330094634, US 1250 E HALLANDALE BEACH BLVD, 2ND FLOOR, HALLANDALE BEACH, FL, 330094634, US

Contacts
Phone +1 954-456-0250
Fax 9544560820

Authorized person
Name MRS. ROSSANA MARIA DICARLO
Role ADMINISTRATOR
Phone 9544560250

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH7202
State FL
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS5537
State FL
Is Primary No
Taxonomy Code 208VP0000X - Pain Medicine Physician
License Number OS5537
State FL
Is Primary No

Other Provider Identifiers
Issuer RAILROAD MEDICARE
Number DD8449
State FL
Issuer BC/BS OF FL GROUP#
Number 45321
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER TOTAL HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2023 650903660 2024-07-20 PREMIER TOTAL HEALTHCARE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2024-07-20
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
PREMIER TOTAL HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2023 650903660 2024-11-21 PREMIER TOTAL HEALTHCARE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2024-11-21
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
PREMIER TOTAL HEALTHCARE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 650903660 2023-07-17 PREMIER TOTAL HEALTHCARE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PREMIER TOTAL HEALTHCARE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 650903660 2022-06-21 PREMIER TOTAL HEALTHCARE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PREMIER TOTAL HEALTHCARE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 650903660 2021-04-28 PREMIER TOTAL HEALTHCARE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PREMIER TOTAL HEALTHCARE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 650903660 2020-05-26 PREMIER TOTAL HEALTHCARE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2020-05-26
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PREMIER TOTAL HEALTHCARE INC 401 K PROFIT SHARING PLAN TRUST 2018 650903660 2019-06-12 PREMIER TOTAL HEALTHCARE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PREMIER TOTAL HEALTHCARE INC 401 K PROFIT SHARING PLAN TRUST 2017 650903660 2018-05-30 PREMIER TOTAL HEALTHCARE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 9544560250
Plan sponsor’s address 2415 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2018-05-30
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DICARLO CHRISTOPHER ADr. Agent 2415 Hollywood Blvd, Hollywood, FL, 33020

President

Name Role Address
DICARLO CHRISTOPHER A President 2415 Hollywood Blvd, Hollywood, FL, 33020

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-03-22 2415 Hollywood Blvd, Hollywood, FL 33020 No data
CHANGE OF MAILING ADDRESS 2016-03-22 2415 Hollywood Blvd, Hollywood, FL 33020 No data
REGISTERED AGENT ADDRESS CHANGED 2016-03-22 2415 Hollywood Blvd, Hollywood, FL 33020 No data
REGISTERED AGENT NAME CHANGED 2015-04-20 DICARLO, CHRISTOPHER Anthony, Dr. No data
AMENDMENT 2010-06-21 No data No data
NAME CHANGE AMENDMENT 1999-02-02 PREMIER TOTAL HEALTHCARE, INC. No data

Documents

Name Date
ANNUAL REPORT 2025-01-22
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-04-02
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-22

Related by officers

DICARLO CHRISTOPHER A

C&A PROPERTY HOLDINGS LLC RENT CENTRAL PROPERTIES LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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