| Entity Name: | NURSESPRING OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Sep 2008 (16 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 18 Sep 2023 (a year ago) |
| Document Number: | L08000092134 |
| FEI/EIN Number | 364648396 |
| Mail Address: | 9120 MIDLOTHIAN TURNPIKE, RICHMOND, VA, 23235, US |
| Address: | 10024 SAN JOSE BLVD, JACKSONVILLE, FL, 32257, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376853580 | 2010-10-21 | 2023-09-08 | 9120 MIDLOTHIAN TNPK, RICHMOND, VA, 23235, US | 10024 SAN JOSE BLVD., JACKSONVILLE, FL, 32257, US | |||||||||||||||||||||||||||||
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| Phone | +1 804-560-9400 |
| Fax | 8042728833 |
| Phone | +1 904-346-0500 |
| Fax | 9043460196 |
Authorized person
| Name | SUSAN M JASON |
| Role | PRESIDENT |
| Phone | 8504798620 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003138400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOFFMAN MATTHEW C | Agent | 151 W. MAIN ST., STE. 200, PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| KRAUSE BRYAN D | Manager | 9120 MIDLOTHIAN TURNPIKE, RICHMOND, VA, 23235 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000017617 | NURSESPRING | EXPIRED | 2016-02-18 | 2021-12-31 | No data | 9120 MIDLOTHIAN TURNPIKE, RICHMOND, VA, 23235 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-18 | 151 W. MAIN ST., STE. 200, PENSACOLA, FL 32502 | No data |
| LC STMNT OF RA/RO CHG | 2023-09-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-18 | HOFFMAN, MATTHEW C | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-22 | 10024 SAN JOSE BLVD, JACKSONVILLE, FL 32257 | No data |
| REINSTATEMENT | 2021-01-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC NAME CHANGE | 2016-01-20 | NURSESPRING OF JACKSONVILLE, LLC | No data |
| LC NAME CHANGE | 2015-12-17 | NURSEJAX, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| CORLCRACHG | 2023-09-18 |
| Reg. Agent Resignation | 2023-06-06 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-01-27 |
| REINSTATEMENT | 2021-01-26 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
