| Entity Name: | PELICAN HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Feb 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Oct 2011 (13 years ago) |
| Document Number: | L10000019952 |
| FEI/EIN Number | 80-0551199 |
| Address: | 2733 OAK RIDGE COURT, 103, FORT MYERS, FL 33901 |
| Mail Address: | 2733 OAK RIDGE COURT, 103, FORT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083996276 | 2011-09-13 | 2011-09-13 | 2733 OAK RIDGE CT, SUITE 103, FORT MYERS, FL, 339019357, US | 2733 OAK RIDGE CT, SUITE 103, FORT MYERS, FL, 339019357, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 239-424-9137 |
Authorized person
| Name | YVONNE JULMEUS |
| Role | DIRECTOR |
| Phone | 2394249137 |
Taxonomy
| Taxonomy Code | 171R00000X - Interpreter |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002327600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YVONNE, JULMEUS | Agent | 2733 Oak Ridge Court, 103, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Julmeus, Yvonne | Managing Member | 2733 Oak Ridge Court, 103 Fort Myers, FL 33901 |
| Name | Role | Address |
|---|---|---|
| EVANEL, JULMEUS | Manager | 2733 Oak Ridge Court, 103 FORT MYERS, FL 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-08 | 2733 Oak Ridge Court, 103, FORT MYERS, FL 33901 | No data |
| REINSTATEMENT | 2011-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
