| Entity Name: | CRQ ENTERPRISES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Nov 2007 (17 years ago) |
| Document Number: | L07000119955 |
| FEI/EIN Number | 261714567 |
| Mail Address: | 2294 E Marcia St, Inverness, FL, 34453, US |
| Address: | 2231 Hwy 44 W, #102, Inverness, FL, 34453, US |
| ZIP code: | 34453 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942459078 | 2008-09-12 | 2016-03-24 | 4214 W GULF TO LAKE HWY, LECANTO, FL, 34461, US | 4214 W GULF TO LAKE HWY, LECANTO, FL, 34461, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-249-1257 |
| Fax | 3522491260 |
Authorized person
| Name | MRS. CAROLYN R. QUINTANILLA |
| Role | MGRM |
| Phone | 3522491257 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993253 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001381400 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRQ ENTERPRISES, LLC 401(K) PLAN | 2023 | 261714567 | 2024-10-15 | CRQ ENTERPRISES, LLC | 46 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-15 |
| Name of individual signing | CAROLYN QUINTANILLA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621610 |
| Plan sponsor’s address | 4214 W. GULF TO LAKE HIGHWAY, LECANTO, FL, 34461 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-16 |
| Name of individual signing | CAROLYN QUINTANILLA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621610 |
| Plan sponsor’s address | 4214 W. GULF TO LAKE HIGHWAY, LECANTO, FL, 34461 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-13 |
| Name of individual signing | CAROLYN QUINTANILLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Quintanilla Carolyn R | Agent | 2294 E Marcia St, Inverness, FL, 34453 |
| Name | Role | Address |
|---|---|---|
| Quintanilla Carolyn R | Managing Member | 2294 E Marcia St, Inverness, FL, 34453 |
| Name | Role | Address |
|---|---|---|
| Quintanilla Abener E | Manager | 2294 E Marcia St, Inverness, FL, 34453 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000002338 | HOME INSTEAD | ACTIVE | 2021-01-06 | 2026-12-31 | No data | 2294 EAST MARCIA STREET, INVERNESS, FL, 34453 |
| G08059900386 | HOME INSTEAD SENIOR CARE OF CITRUS COUNTY | EXPIRED | 2008-02-28 | 2013-12-31 | No data | P O BOX 806, LECANTO, FL, 34460 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-27 | 2231 Hwy 44 W, #102, Inverness, FL 34453 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-27 | 2231 Hwy 44 W, #102, Inverness, FL 34453 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-27 | 2294 E Marcia St, Inverness, FL 34453 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-05-01 | Quintanilla, Carolyn R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-06 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-09-18 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
