Entity Name: | PRIMARY CARE IN YOUR HOME LLC. |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
PRIMARY CARE IN YOUR HOME 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 Oct 2012 (13 years ago) |
Date of dissolution: | 16 May 2014 (11 years ago) |
Last Event: | LC VOLUNTARY DISSOLUTION |
Event Date Filed: | 16 May 2014 (11 years ago) |
Document Number: | L12000125510 |
FEI/EIN Number |
46-1080504
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 2718 TURNBULL ESTATES, NEW SMYRNA, FL, 32168 |
Mail Address: | 2718 TURNBULL ESTATES, NEW SMYRNA, FL, 32168 |
ZIP code: | 32168 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003167073 | 2012-09-30 | 2012-10-05 | 341 W MINNESOTA AVE, ORANGE CITY, FL, 327632205, US | 341 W MINNESOTA AVE, ORANGE CITY, FL, 327632205, US | |||||||||||||||||||||||
|
Phone | +1 386-316-5439 |
Authorized person
Name | JOHN CROKER |
Role | OWNER/MANAGER |
Phone | 3863165439 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ARNP3333802 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 305918900 |
State | FL |
Name | Role | Address |
---|---|---|
BUTTERS DEANN | Managing Member | 2718 TURNBULL ESTATES, NEW SMYRNA, FL, 32168 |
Jetton Timothy DDr. | Manager | 2718 TURNBULL ESTATES, NEW SMYRNA, FL, 32168 |
BUTTERS DEANN | Agent | 2718 TURNBULL ESTATES., NEW SMYRNA, FL, 32168 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC VOLUNTARY DISSOLUTION | 2014-05-16 | - | - |
LC STMNT OF RA/RO CHG | 2014-05-16 | - | - |
REGISTERED AGENT NAME CHANGED | 2014-05-16 | BUTTERS, DEANN | - |
CHANGE OF PRINCIPAL ADDRESS | 2013-04-04 | 2718 TURNBULL ESTATES, NEW SMYRNA, FL 32168 | - |
CHANGE OF MAILING ADDRESS | 2013-04-04 | 2718 TURNBULL ESTATES, NEW SMYRNA, FL 32168 | - |
REGISTERED AGENT ADDRESS CHANGED | 2013-03-04 | 2718 TURNBULL ESTATES., NEW SMYRNA, FL 32168 | - |
Name | Date |
---|---|
CORLCRACHG | 2014-05-16 |
LC Voluntary Dissolution | 2014-05-16 |
ANNUAL REPORT | 2013-04-17 |
CORLCMMRES | 2013-03-04 |
Reg. Agent Change | 2013-03-04 |
Florida Limited Liability | 2012-10-01 |
Date of last update: 01 May 2025
Sources: Florida Department of State