| Entity Name: | CENTER FOR COMPREHENSIVE PALLIATIVE CARE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 May 2007 (18 years ago) |
| Document Number: | L07000051504 |
| FEI/EIN Number | 651309935 |
| Address: | 1528 SW 1ST AVE, OCALA, FL, 34471, US |
| Mail Address: | P.O. BOX 4860, OCALA, FL, 34478-4860, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871791574 | 2007-07-05 | 2016-04-18 | 3231 SW 34TH AVE, OCALA, FL, 344748489, US | 3231 SW 34TH AVE, OCALA, FL, 344748489, US | |||||||||||||||||||||||||||
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| Phone | +1 352-873-7400 |
| Fax | 3528737435 |
Authorized person
| Name | MARY ELLEN POE |
| Role | LLC MANAGER |
| Phone | 3528737434 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | AK752 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000461400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Hoerner Kerry | Agent | 3231 SW 34TH AVENUE, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| Hoerner Kerry | Admi | 3231 SW 34TH AVENUE, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| BEECHER KATHRYN | Manager | 3231 SW 34TH AVENUE, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| Hilty James | Past | 2222 SE 25th St, Ocala, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| Larkin Rich | Chairman | 3635 SW 42nd St, Ocala, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000011608 | CAREWELL | ACTIVE | 2021-01-25 | 2026-12-31 | No data | P.O. BOX 4860, OCALA, FL, 34478 |
| G20000164781 | CAREWELL HOSPICE | ACTIVE | 2020-12-29 | 2025-12-31 | No data | P.O. BOX 4860, OCALA, FL, 34478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-10-01 | Hoerner, Kerry | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-03 | 1528 SW 1ST AVE, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-27 | 3231 SW 34TH AVENUE, OCALA, FL 34474 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-02 | 1528 SW 1ST AVE, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-01 |
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
