| Entity Name: | PATIENT CHOICE HOME HEALTH AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Jan 1999 (26 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P99000002452 |
| FEI/EIN Number | 650886993 |
| Address: | 7771 W. OAKLAND PARK BLVD., STE 100, SUNRISE, FL, 33351 |
| Mail Address: | 7771 W. OAKLAND PARK BLVD., STE 100, SUNRISE, FL, 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043254899 | 2006-06-15 | 2008-09-02 | 7771 W OAKLAND PARK BLVD, SUITE 100, SUNRISE, FL, 333516749, US | 7771 W OAKLAND PARK BLVD, SUITE 100, SUNRISE, FL, 333516749, US | |||||||||||||||||||||||||
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| Phone | +1 954-742-5163 |
| Fax | 9547425169 |
Authorized person
| Name | MRS. JENNIFER NARCISSE |
| Role | ADMINISTRATOR |
| Phone | 9547425163 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 21653096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENCY LICENSE |
| Number | 21653096 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| B&C CORPORATE SERVICES, INC. | Agent | ONE BISCAYNE TOWER, 21ST FL, MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| MUNOZ ANNE E | President | 11190 ORCHID RESERVE, WEST PALM BEACH, FL, 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2009-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-02-28 | 7771 W. OAKLAND PARK BLVD., STE 100, SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2007-02-28 | 7771 W. OAKLAND PARK BLVD., STE 100, SUNRISE, FL 33351 | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2012-02-28 |
| ANNUAL REPORT | 2010-02-19 |
| REINSTATEMENT | 2009-10-01 |
| ANNUAL REPORT | 2008-07-07 |
| ANNUAL REPORT | 2007-02-28 |
| ANNUAL REPORT | 2006-04-06 |
| ANNUAL REPORT | 2005-04-01 |
| ANNUAL REPORT | 2004-02-09 |
| ANNUAL REPORT | 2003-06-09 |
| ANNUAL REPORT | 2002-02-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
