| Entity Name: | SUNCREST HOME HEALTH OF CENTRAL FL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Feb 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L10000022063 |
| FEI/EIN Number | 27-2020510 |
| Address: | 9510 Ormsby Station Road, Suite 300, Louisville, KY 40223-5016 |
| Mail Address: | 9510 Ormsby Station Road, Suite 300, Louisville, KY 40223-5016 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558684910 | 2010-03-12 | 2013-09-16 | 510 HOSPITAL DR, SUITE 150, MADISON, TN, 371155033, US | 994 DOUGLAS AVE, SUITE 100, ALTAMONTE SPRINGS, FL, 327142068, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 615-627-9267 |
| Fax | 6155770081 |
| Phone | +1 407-328-9993 |
| Fax | 4073288227 |
Authorized person
| Name | AMANDA MCFADDIN |
| Role | DIRECTOR OF LICENSING/ACCREDITATION |
| Phone | 6157122250 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992128 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004232000 |
| State | FL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role |
|---|---|
| SUNCREST HEALTHCARE, INC. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000110468 | SUNCREST OMNI | EXPIRED | 2011-11-14 | 2016-12-31 | No data | 510 HOSPITAL DRIVE, SUITE 100, MADISON, TN, 37115 |
| G10000032293 | SUNCREST HOME HEALTH | EXPIRED | 2010-03-31 | 2015-12-31 | No data | 510 HOSPITAL DRIVE, SUITE 100, MADISON, TN, 37115 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-07 | 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-08 | 9510 Ormsby Station Road, Suite 300, Louisville, KY 40223-5016 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-08 | 9510 Ormsby Station Road, Suite 300, Louisville, KY 40223-5016 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-11-21 | COGENCY GLOBAL INC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000759885 | TERMINATED | 1000000634846 | SEMINOLE | 2014-05-30 | 2034-06-20 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2018-04-24 |
| ANNUAL REPORT | 2015-04-17 |
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-04-22 |
| Reg. Agent Change | 2012-11-21 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-01-04 |
| Florida Limited Liability | 2010-02-26 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
