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Street Address

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1501 CORPORATE DR STE 270
BOYNTON BEACH, FL 33426
Phone: (561) 572-3777
County: Palm Beach

Mailing Address

1501 CORPORATE DR
STE 270
BOYNTON BEACH, FL 33426-6661
County: Palm Beach
Website: http://WWW.ACTIVAHH.COM

Emergency Actions:

None
Facility/Provider Type: Nurse Registry
Administrator: ANNE MARIE THOMPSON
Financial Officer: ROBERT OSOWSKI
Owner/Licensee: ACTIVA HOMECARE LLC
Owner/Licensee Since: 4/6/2012
NamePositionOwnership
88-HC AQUISITION HOLDING LLC 100%
Profit Status: For-Profit
Licensed Beds: Not Available
AHCA Number (File Number): 42963197
AHCA Field Office: 09
License Number: 30211566
Current License Effective: 4/3/2018
Expires: 4/2/2020
License Status: LICENSED

Services/Characteristics:

Service Area :  Indian Riv, Martin, Okeechobee, Palm Beach, St. Lucie

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
Change of ownership occurred 5/10/2018
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

Consumer Guides:



Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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