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FAMILY HOME CARE GROUP, LLC

FAMILY HOME CARE GROUP, LLC - Florida Company Profile

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Company Details

Entity Name:	FAMILY HOME CARE GROUP, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	21 Dec 2011 (14 years ago)
Document Number:	L11000143231
FEI/EIN Number	454100526
Address:	622 E. Washington St, ORLANDO, FL, 32801, US
Mail Address:	622 E. Washington St, ORLANDO, FL, 32801, US
ZIP code:	32801
City:	Orlando
County:	Orange
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
JAMES KIMBERLY	Member	622 E. WASHINGTON STREET, ORLANDO, FL, 32801
POOLER NICHOLAS K	Member	622 E. WASHINGTON STREET SUITE 200, ORLANDO, FL, 32801
James Kimberly A	Agent	622 E Washington St, ORLANDO, FL, 32801

Unique Entity ID

CAGE Code:

88WC5

UEI Expiration Date:

2021-01-22

Business Information

Activation Date:

2020-01-23

Initial Registration Date:

2019-02-08

National Provider Identifier

NPI Number:

1811254899

Certification Date:

2024-11-14

Link:

View on NPI website

Authorized Person:

Name:

LEA F BALL

Role:

OWNER/ADMINISTRATOR

Phone:

4074019146

Taxonomy:

Selected Taxonomy:

251E00000X - Home Health Agency

Is Primary:

Yes

Contacts:

Phone:

+1 407-401-9146

Fax:

4075174860

Form 5500 Series

Employer Identification Number (EIN):

454100526

Plan Year:

2023

Number Of Participants:

Sponsors Telephone Number:

4074019146

File:

View File

Plan Year:

2022

Number Of Participants:

Sponsors Telephone Number:

4074019146

File:

View File

Plan Year:

2021

Number Of Participants:

Sponsors Telephone Number:

4074019146

File:

View File

Plan Year:

2020

Number Of Participants:

Sponsors Telephone Number:

4074019146

File:

View File

Plan Year:

2019

Number Of Participants:

Sponsors Telephone Number:

4074019146

File:

View File

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT ADDRESS CHANGED	2025-01-15	622 E Washington St, Suite 200, ORLANDO, FL 32801	-
CHANGE OF PRINCIPAL ADDRESS	2024-09-16	622 E. Washington St, Suite 200, ORLANDO, FL 32801	-
CHANGE OF MAILING ADDRESS	2024-09-16	622 E. Washington St, Suite 200, ORLANDO, FL 32801	-
REGISTERED AGENT NAME CHANGED	2023-03-22	James, Kimberly A	-
REGISTERED AGENT ADDRESS CHANGED	2014-01-10	5401 SOUTH KIRKMAN ROAD, Suite 510, ORLANDO, FL 32819	-

Documents

Name	Date
ANNUAL REPORT	2025-01-15
ANNUAL REPORT	2024-01-30
AMENDED ANNUAL REPORT	2023-03-22
ANNUAL REPORT	2023-01-20
ANNUAL REPORT	2022-01-14
ANNUAL REPORT	2021-01-28
ANNUAL REPORT	2020-01-14
ANNUAL REPORT	2019-01-04
ANNUAL REPORT	2018-01-02
ANNUAL REPORT	2017-01-13

USAspending Awards / Financial Assistance

Date:

2021-02-13

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

281232.00

Total Face Value Of Loan:

281232.00

Date:

2020-04-30

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

281233.00

Total Face Value Of Loan:

281233.00

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$281,233

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$281,233

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Veteran

Forgiveness Amount:

$283,621.55

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $281,233

Jobs Reported:

Initial Approval Amount:

$281,232

Date Approved:

2021-02-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$281,232

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Veteran

Forgiveness Amount:

$284,660.72

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $281,230
Utilities: $1

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Date of last update: 01 Jul 2025

Sources: Florida Department of State