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  5. JOHNSON HOMECARE SERVICES, LLC

JOHNSON HOMECARE SERVICES, LLC

Company Details

Entity Name: JOHNSON HOMECARE SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Nov 2007 (17 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 26 Mar 2010 (15 years ago)
Document Number: L07000111835
FEI/EIN Number 261412686
Address: 9121 NORTH MILITARY TRAIL, SUITE #216, PALM BEACH GARDENS, FL, 33410, US
Mail Address: 9121 NORTH MILITARY TRAIL, SUITE #216, PALM BEACH GARDENS, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386817930 2008-04-03 2014-01-27 9121 N. MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410, US 9121 N. MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410, US

Contacts
Phone +1 561-630-1620
Fax 5616301621

Authorized person
Name MRS. ALLISON NEGRI
Role OWNER
Phone 5616301620

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
License Number 299993098
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 001 2023 261412686 2024-10-01 JOHNSON HOMECARE SERVICES, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, STE. 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 2524 HABERFIELD CT NE, ATLANTA, GA, 30319
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 002 2023 261412686 2024-10-01 JOHNSON HOMECARE SERVICES, LLC 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, STE. 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 2524 HABERFIELD CT NE, ATLANTA, GA, 30319
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 002 2022 261412686 2023-10-02 JOHNSON HOMECARE SERVICES, LLC 91
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE RAOD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 001 2022 261412686 2023-10-02 JOHNSON HOMECARE SERVICES, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 001 2021 261412686 2022-10-13 JOHNSON HOMECARE SERVICES, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 002 2021 261412686 2022-10-13 JOHNSON HOMECARE SERVICES, LLC 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE RAOD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 001 2020 261412686 2021-09-02 JOHNSON HOMECARE SERVICES, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2021-09-02
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 002 2020 261412686 2021-09-02 JOHNSON HOMECARE SERVICES, LLC 94
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE RAOD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2021-09-02
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 002 2019 261412686 2020-08-24 JOHNSON HOMECARE SERVICES, LLC 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE RAOD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
JOHNSON HOMECARE SERVICES, LLC 401(K) PLAN 001 2019 261412686 2020-08-24 JOHNSON HOMECARE SERVICES, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 5616301620
Plan sponsor’s address 9121 NORTH MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GREENBERG SCOTT Agent 9121 N. MILITARY TRAIL, PALM BEACH GARDENS, FL, 33410

Managing Member

Name Role Address
GREENBERG SCOTT Managing Member 3620 Gardens Parkway, Palm Beach Gardens, FL, 33410

Vice President

Name Role Address
NEGRI AGOSTINO Vice President 2998 Hartridge Terrace, WELLINGTON, FL, 33414

Secretary

Name Role Address
NEGRI ALLISON Secretary 2998 Hartridge Terrace, WELLINGTON, FL, 33414

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000109804 JFS COMFORCARE ACTIVE 2020-08-25 2025-12-31 No data 9121 N. MILITARY TRAIL, SUITE 205, PALM BEACH GARDENS, FL, 33410
G15000108704 COMFORCARE SENIOR SERVICES-NORTH PALM BEACH ACTIVE 2015-10-26 2025-12-31 No data 9121 N MILITARY TRAIL, SUITE 216, PALM BEACH GARDENS, FL, 33410
G07319900224 COMFORCARE SENIOR SERVICES -- NORTH PALM BEACH ACTIVE 2007-11-15 2027-12-31 No data 9121 N. MILITARY TRAIL, STE 216, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-01-09 9121 NORTH MILITARY TRAIL, SUITE #216, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF MAILING ADDRESS 2014-01-09 9121 NORTH MILITARY TRAIL, SUITE #216, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT NAME CHANGED 2011-02-21 GREENBERG, SCOTT No data
REGISTERED AGENT ADDRESS CHANGED 2011-02-21 9121 N. MILITARY TRAIL, #216, PALM BEACH GARDENS, FL 33410 No data
LC AMENDMENT 2010-03-26 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-08-21
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-01-16
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-01-22

Related by officers

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NEGRI ALLISON

PALM BEACH GUARDIANSHIP ASSOCIATION, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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