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CONCIERGE CARE, LLC

Company Details

Entity Name: CONCIERGE CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 May 2012 (13 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 17 Dec 2014 (10 years ago)
Document Number: L12000060813
FEI/EIN Number 38-3896565
Address: 6817 SOUTHPOINT PARKWAY, JACKSONVILLE, FL, 32216, US
Mail Address: 6817 SOUTHPOINT PARKWAY, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588902621 2013-01-24 2024-10-23 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL, 322168201, US 6817 SOUTHPOINT PKWY STE 1003, JACKSONVILLE, FL, 322166294, US

Contacts

Phone +1 904-861-0196
Fax 9044858253

Authorized person

Name MR. NANCY RALSTON
Role ADMINISTRATOR
Phone 9048610196

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Other Provider Identifiers

Issuer SENIOR CARE REFERRAL AGENCY
Number 00000
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONCIERGE CARE 401(K) PLAN 2023 383896565 2024-06-27 CONCIERGE CARE 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 9048610196
Plan sponsor’s address 817 SOUTHPOINT PARKWAY, SUITE 1003, JACKSONVILLE, FL, 32216

Signature of

Role Plan administrator
Date 2024-06-27
Name of individual signing CHRISTI PRICE
Valid signature Filed with authorized/valid electronic signature
CONCIERGE CARE 401(K) PLAN 2022 383896565 2023-06-13 CONCIERGE CARE 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 9048610196
Plan sponsor’s address 6555 CHESTER AVE. STE. 2, JACKSONVILLE, FL, 32217

Signature of

Role Plan administrator
Date 2023-06-13
Name of individual signing ASHLEY RALSTON FRIEDERICHS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-13
Name of individual signing ASHLEY RALSTON FRIEDERICHS
Valid signature Filed with authorized/valid electronic signature
CONCIERGE CARE 401(K) PLAN 2021 383896565 2022-08-18 CONCIERGE CARE 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 9048610196
Plan sponsor’s address 6555 CHESTER AVE. STE. 2, JACKSONVILLE, FL, 32217

Signature of

Role Plan administrator
Date 2022-08-18
Name of individual signing ASHLEY RALSTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-18
Name of individual signing ASHLEY RALSTON
Valid signature Filed with authorized/valid electronic signature
CONCIERGE CARE 401(K) PLAN 2020 383896565 2021-09-03 CONCIERGE CARE 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 9048610196
Plan sponsor’s address 6555 CHESTER AVE. STE. 2, JACKSONVILLE, FL, 32217

Signature of

Role Plan administrator
Date 2021-09-03
Name of individual signing ASHLEY RALSTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-03
Name of individual signing ASHLEY RALSTON
Valid signature Filed with authorized/valid electronic signature
CONCIERGE CARE 401K PLAN 2019 383896565 2020-10-13 CONCIERGE CARE 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 9047331003
Plan sponsor’s address 6817 SOUTHPOINT PARKWAY, SUITE 1503, JACKSONVILLE, FL, 32216

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing ASHLEY RALSTON
Valid signature Filed with authorized/valid electronic signature
CONCIERGE CARE 401K PLAN 2018 383896565 2019-06-11 CONCIERGE CARE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 9047331003
Plan sponsor’s address 6817 SOUTHPOINT PARKWAY, SUITE 1503, JACKSONVILLE, FL, 32216

Signature of

Role Plan administrator
Date 2019-06-11
Name of individual signing ASHLEY RALSTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Stifter David Agent 6817 Southpoint Pkwy STE 1004, Jacksonville, FL, 32216

Member

Name Role Address
Ralston Nancy G Member 6817 Southpoint Pkwy STE 1004, Jacksonville, FL, 32216
Stifter Dave Member 6817 Southpoint Pkwy STE 1004, Jacksonville, FL, 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000007430 CONCIERGE CARE ACTIVE 2013-01-22 2029-12-31 No data 6817 SOUTHPOINT PKWY STE 1004, SUITE 1004, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-05 6817 SOUTHPOINT PARKWAY, SUITE 1003, JACKSONVILLE, FL 32216 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-05 6817 Southpoint Pkwy STE 1004, Jacksonville, FL 32216 No data
CHANGE OF MAILING ADDRESS 2021-10-22 6817 SOUTHPOINT PARKWAY, SUITE 1003, JACKSONVILLE, FL 32216 No data
LC DISSOCIATION MEM 2014-12-17 No data No data
LC AMENDMENT 2014-12-08 No data No data
REGISTERED AGENT NAME CHANGED 2014-01-27 Stifter, David No data
LC AMENDMENT 2013-03-18 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-02-09
AMENDED ANNUAL REPORT 2022-01-14
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-06
AMENDED ANNUAL REPORT 2019-09-09
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-01-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State