| Entity Name: | ALPHA ALLIED HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Apr 1999 (26 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 09 Nov 2020 (4 years ago) |
| Document Number: | P99000033744 |
| FEI/EIN Number | 205863937 |
| Address: | 601 Heritage Dr., JUPITER, FL, 33458, US |
| Mail Address: | 601 Heritage Dr., JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699037697 | 2012-06-14 | 2024-09-17 | 601 HERITAGE DR # 117, JUPITER, FL, 334582777, US | 601 HERITAGE DR # 117, JUPITER, FL, 334582777, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 561-721-6453 |
| Fax | 5616586338 |
Authorized person
| Name | BROCK BLUE |
| Role | ADMINISTRATOR / PRESIDENT |
| Phone | 5617216453 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017182100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 112002900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 691713596 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BLUE BROCK | Agent | 601 Heritage Dr., JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| BLUE MADISON | Vice President | 601 Heritage Dr., JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| BLUE BROCK | President | 601 HERITAGE DR, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| BLUE BROCK | Treasurer | 601 HERITAGE DR, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-25 | 601 Heritage Dr., #117, JUPITER, FL 33458 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-25 | BLUE, BROCK | No data |
| CHANGE OF MAILING ADDRESS | 2020-11-12 | 601 Heritage Dr., #117, JUPITER, FL 33458 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-12 | 601 Heritage Dr., #117, JUPITER, FL 33458 | No data |
| AMENDED AND RESTATEDARTICLES | 2020-11-09 | No data | No data |
| AMENDMENT | 2020-03-24 | No data | No data |
| AMENDMENT | 2019-12-23 | No data | No data |
| AMENDMENT | 2017-02-17 | No data | No data |
| AMENDMENT | 2016-02-18 | No data | No data |
| AMENDMENT | 2012-10-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-02-25 |
| Amended and Restated Articles | 2020-11-09 |
| Amendment | 2020-03-24 |
| ANNUAL REPORT | 2020-03-20 |
| Amendment | 2019-12-23 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
