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FLORIDA HOMECARE SPECIALISTS OF CITRUS LLC

Company Details

Entity Name: FLORIDA HOMECARE SPECIALISTS OF CITRUS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2009 (16 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 05 May 2021 (4 years ago)
Document Number: L09000032876
FEI/EIN Number 300549684
Address: 400 INTERSTATE N PKWY SE, ATLANTA, GA, 30339, US
Mail Address: 400 INTERSTATE N PKWY SE, ATLANTA, GA, 30339, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639313760 2009-04-20 2024-01-29 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA, 303395047, US 18770 CORTEZ BLVD, BROOKSVILLE, FL, 346013024, US

Contacts
Phone +1 470-464-8000
Phone +1 833-283-6286
Fax 3522040069

Authorized person
Name SHANNON DRAKE
Role CHIEF LEGAL OFFICER
Phone 4704648000

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA HOMECARE SPECIALISTS OF CITRUS 401(K) PLAN 2018 300549684 2019-04-10 FLORIDA HOMECARE SPECIALISTS OF CITRUS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-15
Business code 621610
Sponsor’s telephone number 3526135853
Plan sponsor’s address 6216 W GULF TO LAKE HWY., CRYSTAL RIVER, FL, 34429

Signature of
Role Plan administrator
Date 2019-04-10
Name of individual signing RYAN ROFLO
Valid signature Filed with authorized/valid electronic signature
FLORIDA HOMECARE SPECIALISTS OF CITRUS 401(K) PLAN 2017 300549684 2018-05-02 FLORIDA HOMECARE SPECIALISTS OF CITRUS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-15
Business code 621610
Sponsor’s telephone number 3526135853
Plan sponsor’s address 6216 W GULF TO LAKE HWY., CRYSTAL RIVER, FL, 34429

Signature of
Role Plan administrator
Date 2018-05-02
Name of individual signing RYAN ROFLO
Valid signature Filed with authorized/valid electronic signature
FLORIDA HOMECARE SPECIALISTS OF CITRUS 401(K) PLAN 2016 300549684 2017-07-17 FLORIDA HOMECARE SPECIALISTS OF CITRUS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-15
Business code 621610
Sponsor’s telephone number 3526135853
Plan sponsor’s address 6216 W GULF TO LAKE HWY., CRYSTAL RIVER, FL, 34429

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 8004872040

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
FLORIDA HOMECARE SPECIALISTS OF CITRUS 401(K) PLAN 2015 300549684 2016-08-08 FLORIDA HOMECARE SPECIALISTS OF CITRUS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-15
Business code 621610
Sponsor’s telephone number 3526135853
Plan sponsor’s address 6216 W GULF TO LAKE HWY., CRYSTAL RIVER, FL, 34429

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 8004872040

Signature of
Role Plan administrator
Date 2016-08-08
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
FLORIDA HOMECARE SPECIALISTS OF CITRUS 401(K) PLAN 2014 300549684 2015-09-25 FLORIDA HOMECARE SPECIALISTS OF CITRUS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-15
Business code 621610
Sponsor’s telephone number 3526135853
Plan sponsor’s address 6216 W GULF TO LAKE HWY., CRYSTAL RIVER, FL, 34429

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR
Plan administrator’s address 5352 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 8004872040

Signature of
Role Plan administrator
Date 2015-09-24
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-25
Name of individual signing RYAN ROFLO
Valid signature Filed with authorized/valid electronic signature
FLORIDA HOMECARE SPECIALISTS OF CITRUS 401(K) PLAN 2013 300549684 2014-10-09 FLORIDA HOMECARE SPECIALISTS OF CITRUS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-15
Business code 621610
Sponsor’s telephone number 3526135853
Plan sponsor’s address 6099 W GULF TO LAKE HWY., CRYSTAL RIVER, FL, 34429

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR
Plan administrator’s address 5352 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 8004872040

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing RYAN ROFLO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Chief Executive Officer

Name Role Address
Shaner Jeffrey Chief Executive Officer 400 INTERSTATE N PKWY SE, ATLANTA, GA, 30339

Chief Financial Officer

Name Role Address
Buckhalter Matthew Chief Financial Officer 400 INTERSTATE N PKWY SE, ATLANTA, GA, 30339

Manager

Name Role Address
Stewart Deborah Manager 400 INTERSTATE N PKWY SE, ATLANTA, GA, 30339

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000094041 AVEANNA HOME HEALTH ACTIVE 2021-07-19 2026-12-31 No data 400 INTERSTATE NORTH PARKWAY SE, SUITE 1600, ATLANTA, GA, 30339
G19000052297 DOCTOR'S CHOICE HOME CARE EXPIRED 2019-04-29 2024-12-31 No data 8010 25TH COURT EAST, UNIT103, SARASOTA, FL, 34243

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-04 400 INTERSTATE N PKWY SE, STE 1600, ATLANTA, GA 30339 No data
CHANGE OF MAILING ADDRESS 2022-04-04 400 INTERSTATE N PKWY SE, STE 1600, ATLANTA, GA 30339 No data
LC AMENDMENT 2021-05-05 No data No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-20 1201 HAYS ST, TALLAHASSEE, FL 32301 No data
LC AMENDMENT 2021-04-20 No data No data
REGISTERED AGENT NAME CHANGED 2021-04-20 CORPORATION SERVICE COMPANY No data
LC AMENDMENT 2019-04-22 No data No data
LC AMENDMENT 2017-12-20 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-01-05
ANNUAL REPORT 2022-04-04
LC Amendment 2021-05-05
LC Amendment 2021-04-20
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-07
LC Amendment 2019-04-22
ANNUAL REPORT 2019-03-18
ANNUAL REPORT 2018-01-20

Related by officers

Shaner Jeffrey

RECOVER HEALTH, INC. SIMONE HEALTH CARE, LLC COASTAL FARMS PARTNERS, LLC SLHHA HOLDINGS, LLC AVEANNA HEALTHCARE AS, LLC PEDIATRIC SERVICES OF AMERICA, LLC 5 STAR HOME HEALTH SERVICES, LLC SAVING LIVES HOME HEALTH AGENCY, LLC TIMELESS HOME CARE, LLC NURSING PLUS, LLC

Buckhalter Matthew

RECOVER HEALTH, INC. SIMONE HEALTH CARE, LLC SLHHA HOLDINGS, LLC AVEANNA HEALTHCARE AS, LLC 5 STAR HOME HEALTH SERVICES, LLC SAVING LIVES HOME HEALTH AGENCY, LLC TIMELESS HOME CARE, LLC NURSING PLUS, LLC DOCTOR'S CHOICE HOME CARE, LLC PEDIATRIA HEALTHCARE, LLC

Stewart Deborah

RECOVER HEALTH, INC. SIMONE HEALTH CARE, LLC 1ST COAST LLC SLHHA HOLDINGS, LLC AVEANNA HEALTHCARE AS, LLC 1808 NEBRASKA HOLDINGS LLC BONNIE RELOCATION LLC PEDIATRIC SERVICES OF AMERICA, LLC 5 STAR HOME HEALTH SERVICES, LLC SAVING LIVES HOME HEALTH AGENCY, LLC

Related by address

400 INTERSTATE N PKWY SE, ATLANTA, GA, 30339, US

SIMONE HEALTH CARE, LLC SLHHA HOLDINGS, LLC 5 STAR HOME HEALTH SERVICES, LLC SAVING LIVES HOME HEALTH AGENCY, LLC NURSING PLUS, LLC DOCTOR'S CHOICE HOME CARE, LLC

400 INTERSTATE N PKWY SE, ATLANTA, GA, 30339, US

SIMONE HEALTH CARE, LLC SLHHA HOLDINGS, LLC 5 STAR HOME HEALTH SERVICES, LLC SAVING LIVES HOME HEALTH AGENCY, LLC NURSING PLUS, LLC DOCTOR'S CHOICE HOME CARE, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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