| Entity Name: | GUARDIAN ANGEL HOME CARE AGENCY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Sep 2005 (19 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 04 Oct 2019 (5 years ago) |
| Document Number: | L05000086807 |
| FEI/EIN Number | 113758171 |
| Address: | 1532 N. Harbor City Blvd., Melbourne, FL, 32935, US |
| Mail Address: | 651 Bismarck Way, Indialantic, FL, 32903, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447515812 | 2012-07-11 | 2023-05-09 | 1532 N HARBOR CITY BLVD STE A, MELBOURNE, FL, 329356533, US | 1532 N HARBOR CITY BLVD STE A, MELBOURNE, FL, 329356533, US | |||||||||||||||||||||||||||
|
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| Phone | +1 321-633-9730 |
| Fax | 3216335061 |
Authorized person
| Name | NICOLE MARIE STONE |
| Role | ASSISTANT ADMINISTRATOR |
| Phone | 3216339730 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | 30211549 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 30211549 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Stone Nicole M | Agent | 1532 N. Harbor City Blvd., Melbourne, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| Stone Nicole M | Manager | 1532 N. Harbor City Blvd., Melbourne, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| Stone Bernadine | Authorized Member | 651 Bismarck Way, Indialantic, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-19 | 1532 N. Harbor City Blvd., Suite A, Melbourne, FL 32935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-12 | 1532 N. Harbor City Blvd., Suite A, Melbourne, FL 32935 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-12 | 1532 N. Harbor City Blvd., Suite A, Melbourne, FL 32935 | No data |
| LC AMENDMENT AND NAME CHANGE | 2019-10-04 | GUARDIAN ANGEL HOME CARE AGENCY, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-24 | Stone, Nicole Marie | No data |
| LC AMENDMENT | 2011-11-04 | No data | No data |
| CANCEL ADM DISS/REV | 2006-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-04-23 |
| LC Amendment and Name Change | 2019-10-04 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
