| Entity Name: | COASTAL COMPANION CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jul 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 20 Aug 2015 (9 years ago) |
| Document Number: | L12000095981 |
| FEI/EIN Number | 46-0652607 |
| Address: | 2131 Hollywood Blvd, HOLLYWOOD, FL, 33020, US |
| Mail Address: | 2131 Hollywood Blvd, HOLLYWOOD, FL, 33020, US |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780283804 | 2020-10-20 | 2020-10-20 | 2131 HOLLYWOOD BLVD STE 503, HOLLYWOOD, FL, 330206753, US | 2131 HOLLYWOOD BLVD STE 503, HOLLYWOOD, FL, 330206753, US | |||||||||||||||||||||
|
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| Phone | +1 954-505-7957 |
| Fax | 9547447408 |
Authorized person
| Name | DINAH PICKETT |
| Role | OWNER |
| Phone | 9545057957 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HOME CARE |
| Number | P230-170-61-509-0 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PICKETT DINAH | Agent | 2131 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33020 |
| Name | Role | Address |
|---|---|---|
| PICKETT DINAH J | Managing Member | 2131 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33020 |
| Name | Role | Address |
|---|---|---|
| Cooke Hannah | Gene | 2131 Hollywood Blvd, HOLLYWOOD, FL, 33020 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000107250 | HOME INSTEAD | ACTIVE | 2023-09-07 | 2028-12-31 | No data | 2131 HOLLYWOOD BLVD,SUITE 503, HOLLYWOOD, FL, 33020 |
| G21000027734 | HOME INSTEAD | ACTIVE | 2021-02-26 | 2026-12-31 | No data | 2131 HOLLYWOOD BLVD, SUITE 503, HOLLYWOOD, FL, 33020 |
| G21000023947 | HOME INSTEAD | ACTIVE | 2021-02-18 | 2026-12-31 | No data | 2131 HOLLYWOOD BLVD, SUITE 503, HOLLYWOOD, FL, 33020 |
| G18000061837 | HOME INSTEAD SENIOR CARE | EXPIRED | 2018-05-23 | 2023-12-31 | No data | 2640 HOLLYWOOD BLVD. SUITE 101, HOLLYWOOD, FL, 33020 |
| G12000077149 | HOME INSTEAD SENIOR CARE, INC | EXPIRED | 2012-08-03 | 2017-12-31 | No data | 13323 CALIFORNIA STREET, OMAHA, NE, 68154 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-19 | 2131 HOLLYWOOD BLVD., 503, HOLLYWOOD, FL 33020 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-09 | 2131 Hollywood Blvd, Suite 503, HOLLYWOOD, FL 33020 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-09 | 2131 Hollywood Blvd, Suite 503, HOLLYWOOD, FL 33020 | No data |
| LC STMNT OF RA/RO CHG | 2015-08-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-08-20 | PICKETT, DINAH | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-08 |
| CORLCRACHG | 2015-08-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
