| Entity Name: | CARESOUTH HHA HOLDINGS OF CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Jul 2002 (23 years ago) |
| Date of dissolution: | 04 Jan 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Jan 2013 (12 years ago) |
| Document Number: | L02000016880 |
| FEI/EIN Number | 542122546 |
| Address: | ONE TENTH STREET, SUITE 500, AUGUSTA, GA, 30901-0103, US |
| Mail Address: | PO BOX 200, AUGUSTA, GA, 30903-0200 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033178587 | 2006-03-22 | 2012-06-18 | PO BOX 200, AUGUSTA, GA, 309030200, US | 1805 SE 16TH AVENUE, BLDG 600, SUITE 603, OCALA, FL, 344714678, US | |||||||||||||||||||||||||||||
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| Phone | +1 706-855-5533 |
| Fax | 7068547382 |
| Phone | +1 352-873-0475 |
| Fax | 3522915136 |
Authorized person
| Name | MR. RICK W GRIFFIN |
| Role | PRES/CEO |
| Phone | 7068555533 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA299991513 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 650919300 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GRIFFIN RICK W | Manager | ONE TENTH STREET SUITE 500, AUGUSTA, GA, 309010103 |
| SOUTHERN JOHN M | Manager | ONE TENTH STREET SUITE 500, AUGUSTA, GA, 309010103 |
| Name | Role | Address |
|---|---|---|
| TRIPP KELLY C | Secretary | ONE TENTH STREET, SUITE 500, AUGUSTA, GA, 309010103 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000067139 | CARESOUTH HOMECARE PROFESSIONALS | EXPIRED | 2011-07-05 | 2016-12-31 | No data | P.O. BOX 200, AUGUSTA, GA, 30903--020 |
| G09000155421 | FP HOMECARE | EXPIRED | 2009-09-15 | 2014-12-31 | No data | P.O. BOX 4860, OCALA, FL, 34478-4860 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2894 REMINGTON GREEN LANE, SUITE A, TALLAHASSEE, FL 32308 | No data |
| VOLUNTARY DISSOLUTION | 2013-01-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-08-20 | REGISTERED AGENT SOLUTIONS, INC. | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-04-24 | CARESOUTH HHA HOLDINGS OF CENTRAL FLORIDA, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-04 | ONE TENTH STREET, SUITE 500, AUGUSTA, GA 30901-0103 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-04 | ONE TENTH STREET, SUITE 500, AUGUSTA, GA 30901-0103 | No data |
| LC AMENDMENT | 2011-09-09 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2013-01-04 |
| Reg. Agent Change | 2012-08-20 |
| LC Amendment and Name Change | 2012-04-24 |
| ANNUAL REPORT | 2012-01-04 |
| LC Amendment | 2011-09-09 |
| Reg. Agent Change | 2011-08-30 |
| ANNUAL REPORT | 2011-02-02 |
| ANNUAL REPORT | 2010-01-27 |
| ANNUAL REPORT | 2009-05-18 |
| ANNUAL REPORT | 2009-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
