| Entity Name: | LIBERTY I, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LIBERTY I, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 02 Aug 2002 (23 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Sep 2021 (4 years ago) |
| Document Number: | L02000019697 |
| FEI/EIN Number |
020641018
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5810 W CYPRESS ST, Tampa, FL, 33607, US |
| Mail Address: | 4655 SALISBURY ROAD, STE 110, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588616015 | 2006-05-16 | 2023-12-27 | 4655 SALISBURY RD STE 110, JACKSONVILLE, FL, 322560957, US | 5810 W CYPRESS ST STE 5810-A, TAMPA, FL, 336071780, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-733-1003 |
| Fax | 9044488855 |
| Phone | +1 813-636-5017 |
| Fax | 8132821166 |
Authorized person
| Name | MR. ROBERT G YOUNG |
| Role | SECRETARY & CAO |
| Phone | 9047331003 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA WAIVER ID |
| Number | 10D1011161 |
| State | FL |
| Issuer | AHCA STATE LICENSE |
| Number | 299992257 |
| State | FL |
| Issuer | MEDICAID |
| Number | 111117900 |
| State | FL |
| Issuer | AHCA STATE LICENSE |
| Number | 299991756 |
| State | FL |
| Issuer | AHCA STATE LICENSE |
| Number | 299992984 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CONCIERGE FLORIDA ACQUISITIONS 3, LLC | Authorized Member | 4655 SALISBURY ROAD, JACKSONVILLE, FL, 32256 |
| FISHER JEFFREY L | President | 4655 SALISBURY ROAD, JACKSONVILLE, FL, 32256 |
| Rucker David C | Chief Executive Officer | 4655 Salisbury Rd., Jacksonville, FL, 32256 |
| YOUNG ROBERT G | Secretary | 4655 SALISBURY ROAD, JACKSONVILLE, FL, 32256 |
| Young Robert G | Chief Financial Officer | 4655 SALISBURY ROAD, JACKSONVILLE, FL, 32256 |
| YOUNG ROBERT GREG | Agent | 4655 SALISBURY ROAD, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000011203 | CONCIERGE HOME CARE | ACTIVE | 2022-01-26 | 2027-12-31 | - | 4655 SALISBURY ROAD SUITE 110, JACKSONVILLE, FL, 32256 |
| G22000011205 | CONCIERGE HOME CARE | ACTIVE | 2022-01-26 | 2027-12-31 | - | 4655 SALISBURY ROAD SUITE 110, JACKSONVILLE, FL, 32256 |
| G22000011207 | CONCIERGE HOME CARE | ACTIVE | 2022-01-26 | 2027-12-31 | - | 4655 SALISBURY ROAD SUITE 110, JACKSONVILLE, FL, 32256 |
| G15000112949 | FUSION HEALTHCARE | ACTIVE | 2015-11-05 | 2025-12-31 | - | 13923 ICOT BLVD., STE 815, CLEARWATER, FL, 33760 |
| G12000046208 | FUSION HEALTHCARE | EXPIRED | 2012-05-17 | 2017-12-31 | - | 10901 CORPORATE CIRCLE N, STE A, ST PETERSBURG, FL, 33716 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-18 | 5810 W CYPRESS ST, SUITE 5810-A, Tampa, FL 33607 | - |
| CHANGE OF MAILING ADDRESS | 2022-02-09 | 5810 W CYPRESS ST, SUITE 5810-A, Tampa, FL 33607 | - |
| LC AMENDMENT | 2021-09-30 | - | - |
| LC AMENDMENT | 2021-08-26 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-08-26 | YOUNG, ROBERT GREG | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-02 | 4655 SALISBURY ROAD, STE 110, JACKSONVILLE, FL 32256 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-14 |
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-02-09 |
| LC Amendment | 2021-09-30 |
| LC Amendment | 2021-08-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-02 |
| AMENDED ANNUAL REPORT | 2018-02-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3868338309 | 2021-01-22 | 0455 | PPS | 550 N Reo St Ste 230, Tampa, FL, 33609-1062 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
