| Entity Name: | AGAPELIFE HEALTH GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Dec 2011 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L11000135471 |
| FEI/EIN Number | 454124847 |
| Address: | 3545 St. Johns Bluff Rd. S, #1-214, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 3545 ST. JOHNS BLUFF ROAD SOUTH, 1-214, JACKSONVILLE, FL, 32224 |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164783494 | 2012-06-04 | 2013-03-12 | 3545 SAINT JOHNS BLUFF RD S, 1-214, JACKSONVILLE, FL, 322242682, US | 12187 BEACH BLVD, SUITE 7, JACKSONVILLE, FL, 322460676, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-807-9955 |
| Fax | 9048079954 |
Authorized person
| Name | ANDREA I HART |
| Role | OWNER, AGENCY DIRECTOR |
| Phone | 9048079955 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 1514 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994085 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 299994085 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | HEALTH CARE SERVICES POOL |
| Number | 1514 |
| State | FL |
| Issuer | ACHA HOME HEALTH AGENCY LICENSE |
| Number | 299994085 |
| State | FL |
| Issuer | ACHA HOMEMAKER COMPANION LICENSE |
| Number | 232597 |
| State | FL |
| Issuer | CLIA WAIVER |
| Number | 10D2043310 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HART ANDREA I | Agent | 3545 St. Johns Bluff Rd. S, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| HART ANDREA I | Manager | 3545 St. Johns Bluff Rd. S, JACKSONVILLE, FL, 32224 |
| HART ROYCE B | Manager | 3545 St. Johns Bluff Rd. S, JACKSONVILLE, FL, 32224 |
| CARROLL ERNESTINE C | Manager | 3545 St. Johns Bluff Rd. S, JACKSONVILLE, FL, 32224 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000099566 | CARE MANAGERS PLUS | EXPIRED | 2015-09-28 | 2020-12-31 | No data | 3545 ST. JOHNS BLUFF RD. S. #1-214, JACKSONVILLE, FL, 32224 |
| G12000027932 | BRIGHTSTAR CARE OF THE BEACHES & PONTE VEDRA | EXPIRED | 2012-03-21 | 2017-12-31 | No data | 3545 ST. JOHNS BLUFF RD. SOUTH, SUITE 1-214, JACKSONVILLE, FL, 32224 |
| G12000007334 | BRIGHTSTAR OF THE BEACHES & PONTE VEDRA | EXPIRED | 2012-01-20 | 2017-12-31 | No data | 12625 WOODED BLUFF COURT, JACKSONVILLE, FL, 32226 |
| G11000125679 | BRIGHTSTAR HEALTHCARE, KIDCARE, & STAFFING | EXPIRED | 2011-12-23 | 2016-12-31 | No data | 12625 WOODED BLUFF COURT, JACKSONVILLE, FL, 32226 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-28 | 3545 St. Johns Bluff Rd. S, #1-214, JACKSONVILLE, FL 32224 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-28 | 3545 St. Johns Bluff Rd. S, #1-214, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-28 | 3545 St. Johns Bluff Rd. S, #1-214, JACKSONVILLE, FL 32224 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000055026 | TERMINATED | 1000000647693 | DUVAL | 2014-11-25 | 2025-01-08 | $ 2,278.25 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-28 |
| Florida Limited Liability | 2011-12-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
