| Entity Name: | LIFELINE HOME HEALTH CARE OF LADY LAKE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Aug 2006 (18 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 16 Nov 2023 (a year ago) |
| Document Number: | L06000086284 |
| FEI/EIN Number | 14-1975227 |
| Address: | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA 70508 |
| Mail Address: | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA 70508 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730284191 | 2006-09-13 | 2013-03-20 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 1501 N US HIGHWAY 441, SUITE 1108, LADY LAKE, FL, 321598999, US | |||||||||||||||||||||||
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 352-753-4631 |
| Fax | 3527538374 |
Authorized person
| Name | MR. DONALD D. STELLY |
| Role | PRESIDENT |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991009 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| LHC GROUP, INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000090708 | FLORIDA HOMECARE OF LADY LAKE | EXPIRED | 2011-09-14 | 2016-12-31 | No data | 420 W. PINHOOK ROAD, SUITE A, LAFAYETTE, LA, 70503-2131 |
| G08023900012 | MUNROE REGIONAL HOMECARE AT LADY LAKE | EXPIRED | 2008-01-18 | 2013-12-31 | No data | 420 W. PINHOOK ROAD,, SUITE A, LAFAYETTE, LA, 70503-2131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-11-16 | C T CORPORATION SYSTEM | No data |
| LC STMNT OF RA/RO CHG | 2023-11-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-16 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| LC STMNT OF RA/RO CHG | 2018-07-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-26 | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA 70508 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-26 | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA 70508 | No data |
| LC STMNT OF RA/RO CHG | 2014-03-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| CORLCRACHG | 2023-11-16 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-05-01 |
| CORLCRACHG | 2018-07-24 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-04-13 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
