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HCA OF PALM BEACH INC.

Company Details

Entity Name: HCA OF PALM BEACH INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Jun 1999 (26 years ago)
Document Number: P99000053543
FEI/EIN Number 223660867
Address: 17380 N HWY A1A ALT, STE 301A, JUPITER, FL, 33477
Mail Address: 17380 N HWY A1A ALT, STE 301A, JUPITER, FL, 33477
ZIP code: 33477
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174692511 2006-11-07 2008-08-05 17380 N HIGHWAY A1A ALT, SUITE 301A, JUPITER, FL, 334775860, US 17380 N HIGHWAY A1A ALT, SUITE 301A, JUPITER, FL, 334775860, US

Contacts

Phone +1 561-741-0444

Authorized person

Name MS. KATHLEEN MARIE SAVARESE
Role PRESIDENT AND CEO
Phone 5617410444

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 1265
State FL
Is Primary Yes
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary No

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHEILD
Number R9103
State FL

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5RYT1 Active Non-Manufacturer 2009-10-23 2022-01-01 2025-07-07 2022-01-01

Contact Information

POC JOSEPH SAVARESE
Phone +1 561-741-0444
Fax +1 561-741-0403
Address 17380 N HWY ALT A1, JUPITER, FL, 33477 5860, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2023 223660867 2024-05-25 HCA OF PALM BEACH INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2024-05-25
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2022 223660867 2023-06-27 HCA OF PALM BEACH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2023-06-27
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2021 223660867 2022-06-08 HCA OF PALM BEACH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2022-06-08
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2020 223660867 2021-06-03 HCA OF PALM BEACH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2019 223660867 2020-10-01 HCA OF PALM BEACH INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2020-10-01
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2018 223660867 2019-08-06 HCA OF PALM BEACH INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2019-08-06
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2017 223660867 2018-06-05 HCA OF PALM BEACH INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2018-06-05
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401(K) PROFIT SHARING PLAN AND TRUST 2016 223660867 2017-07-23 HCA OF PALM BEACH INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT STE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2017-07-23
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401 K PROFIT SHARING PLAN TRUST 2015 223660867 2016-06-25 HCA OF PALM BEACH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 453990
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT SUITE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2016-06-25
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
HCA OF PALM BEACH INC 401 K PROFIT SHARING PLAN TRUST 2014 223660867 2015-10-13 HCA OF PALM BEACH INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 453990
Sponsor’s telephone number 5617410444
Plan sponsor’s address 17380 N HWY A1A ALT SUITE 301A, JUPITER, FL, 33477

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing JOSEPH SAVARESE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SAVARESE KATHLEEN Agent 120 MONTE CARLO DRIVE, PALM BEACH GARDENS, FL, 33418

President

Name Role Address
SAVARESE KATHLEEN President 120 MONTE CARLO DRIVE, PALM BEACH GARDENS, FL, 33418

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000005516 HCA OF PALM BEACH, INC ACTIVE 2021-01-11 2026-12-31 No data 17380 N HIGHWAY A1A ALT., SUITE 301 A, JUPITER, FL, 33477
G05081900356 HOMECARE AMERICA ACTIVE 2005-03-22 2026-12-31 No data 17380 N HWY A1A ALT., SUITE 301A, JUPITER, FL, 33477

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2005-04-17 120 MONTE CARLO DRIVE, PALM BEACH GARDENS, FL 33418 No data
CHANGE OF PRINCIPAL ADDRESS 2000-05-19 17380 N HWY A1A ALT, STE 301A, JUPITER, FL 33477 No data
CHANGE OF MAILING ADDRESS 2000-05-19 17380 N HWY A1A ALT, STE 301A, JUPITER, FL 33477 No data

Documents

Name Date
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-04-01
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-03-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State