| Entity Name: | AGAPELIFE HEALTH GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
AGAPELIFE HEALTH GROUP, 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: | 01 Dec 2011 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L11000135471 |
| FEI/EIN Number |
454124847
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 | 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 |
| HART ANDREA I | Agent | 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 | - | 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 | - | 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 | - | 12625 WOODED BLUFF COURT, JACKSONVILLE, FL, 32226 |
| G11000125679 | BRIGHTSTAR HEALTHCARE, KIDCARE, & STAFFING | EXPIRED | 2011-12-23 | 2016-12-31 | - | 12625 WOODED BLUFF COURT, JACKSONVILLE, FL, 32226 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-28 | 3545 St. Johns Bluff Rd. S, #1-214, JACKSONVILLE, FL 32224 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-28 | 3545 St. Johns Bluff Rd. S, #1-214, JACKSONVILLE, FL 32224 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-28 | 3545 St. Johns Bluff Rd. S, #1-214, JACKSONVILLE, FL 32224 | - |
| 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 Apr 2025
Sources: Florida Department of State
