Entity Name: | ST. BERNADETTE'S CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
ST. BERNADETTE'S CARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
Date Filed: | 02 Sep 2011 (14 years ago) |
Date of dissolution: | 26 Sep 2014 (11 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (11 years ago) |
Document Number: | L11000101048 |
FEI/EIN Number |
453192128
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 14489 Middle Fairway Drive, BROOKSVILLE, FL, 34609, US |
Mail Address: | 14489 Middle Fairway Drive, BROOKSVILLE, FL, 34609, US |
ZIP code: | 34609 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205119609 | 2011-09-21 | 2011-09-21 | PO BOX 15669, BROOKSVILLE, FL, 346040122, US | 5448 LEGEND HILLS LN, BROOKSVILLE, FL, 346099502, US | |||||||||||||||||||||||
|
Phone | +1 352-593-4242 |
Authorized person
Name | JOSE CERON-FUENTES |
Role | PRESIDENT |
Phone | 3525934242 |
Taxonomy
Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
License Number | ME95797 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 2775247 |
State | FL |
Name | Role | Address |
---|---|---|
CERON-FUENTES JOSE D | Managing Member | 14489 Middle Fairway Drive, BROOKSVILLE, FL, 34609 |
NULAND CHRISTOPHER L | Agent | 1000 RIVERSIDE AVE, JACKSONVILLE, FL, 32204 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2013-01-24 | 14489 Middle Fairway Drive, BROOKSVILLE, FL 34609 | - |
CHANGE OF MAILING ADDRESS | 2013-01-24 | 14489 Middle Fairway Drive, BROOKSVILLE, FL 34609 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2013-01-24 |
ANNUAL REPORT | 2012-01-05 |
Florida Limited Liability | 2011-09-02 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State