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JJL HEALTHCARE SERVICES LLC

Company Details

Entity Name: JJL HEALTHCARE SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jul 2012 (13 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 03 Mar 2016 (9 years ago)
Document Number: L12000089294
FEI/EIN Number 80-0833060
Address: 2010 West Eau Gallie Blvd., MELBOURNE, FL, 32935, US
Mail Address: 2010 West Eau Gallie Blvd., MELBOURNE, FL, 32935, US
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831433564 2012-11-19 2024-05-02 2010 W. EAU GALLIE BLVD., SUITE 101, MELBOURNE, FL, 329353114, US 2010 W. EAU GALLIE BLVD., SUITE 101, MELBOURNE, FL, 329353114, US

Contacts

Phone +1 321-608-3838
Fax 3212865808

Authorized person

Name MR. JORDAN JOHN LUHN
Role PRESIDENT
Phone 3216083838

Taxonomy

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

Other Provider Identifiers

Issuer MEDICAID
Number 008515200
State FL

Agent

Name Role Address
LUHN JORDAN Agent 2010 West Eau Gallie Blvd., MELBOURNE, FL, 32935

President

Name Role Address
LUHN JORDAN J President 2010 WEST EAU GALLIE Blvd., MELBOURNE, FL, 32935

Chief Financial Officer

Name Role Address
LUHN JACOB B Chief Financial Officer 2010 WEST EAU GALLIE Blvd., MELBOURNE, FL, 32935

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000079962 CHAMPION HOME CARE ACTIVE 2022-07-05 2027-12-31 No data 2010 W. EAU GALLIE BLVD., UNIT 101, MELBOURNE, FL, 32935
G12000069674 CHAMPION HOME HEALTH CARE ACTIVE 2012-07-12 2027-12-31 No data 2010 W EAU GALLIE BLVD., SUITE 101, MELBOURNE, FL, 32935

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-16 2010 West Eau Gallie Blvd., Suite 101, MELBOURNE, FL 32935 No data
CHANGE OF MAILING ADDRESS 2018-01-16 2010 West Eau Gallie Blvd., Suite 101, MELBOURNE, FL 32935 No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-16 2010 West Eau Gallie Blvd., Suite 101, MELBOURNE, FL 32935 No data
LC STMNT OF RA/RO CHG 2016-03-03 No data No data
REGISTERED AGENT NAME CHANGED 2016-03-03 LUHN, JORDAN No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-15
CORLCRACHG 2016-03-03
ANNUAL REPORT 2016-01-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State