Entity Name: | TERRI'S LOVING CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 11 Jun 2013 (12 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 01 Oct 2019 (5 years ago) |
Document Number: | L13000084320 |
FEI/EIN Number | 30-0750911 |
Address: | 2313 Border Street, Pensacola, FL, 32505, US |
Mail Address: | 222 Bayou Blvd, PENSACOLA, FL, 32503, US |
ZIP code: | 32505 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861829574 | 2013-09-27 | 2013-09-27 | 414 TREE SWALLOW DR, PENSACOLA, FL, 325039000, US | 414 TREE SWALLOW DR, PENSACOLA, FL, 325039000, US | |||||||||||||||||||||||||
|
Phone | +1 850-287-4655 |
Fax | 8509124800 |
Authorized person
Name | MRS. KIZZIE L KING |
Role | OWNER |
Phone | 8502874655 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
License Number | S-2208 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 007394800 |
State | FL |
Name | Role | Address |
---|---|---|
KING KIZZIE | Agent | 414 TREE SWALLOW DR, PENSACOLA, FL, 32503 |
Name | Role | Address |
---|---|---|
KING KIZZIE | Chief Executive Officer | 414 TREE SWALLOW DR, PENSACOLA, FL, 32503 |
Name | Role | Address |
---|---|---|
King Reginald Sr. | Vice President | 414 Tree Swallow Drive, Pensacola, FL, 32503 |
Name | Role | Address |
---|---|---|
Blankenship Zyquira Z | Chairman | 6973 Cabral Street, PENSACOLA, FL, 32503 |
Name | Role | Address |
---|---|---|
King Reginald | Vice Chairman | 414 TREE SWALLOW DR, PENSACOLA, FL, 32503 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-03-01 | 2313 Border Street, Pensacola, FL 32505 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-04-24 | 2313 Border Street, Pensacola, FL 32505 | No data |
REINSTATEMENT | 2019-10-01 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2019-10-01 | KING, KIZZIE | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-26 |
ANNUAL REPORT | 2023-03-01 |
ANNUAL REPORT | 2022-04-06 |
ANNUAL REPORT | 2021-04-24 |
ANNUAL REPORT | 2020-06-07 |
REINSTATEMENT | 2019-10-01 |
ANNUAL REPORT | 2018-07-11 |
ANNUAL REPORT | 2017-03-28 |
ANNUAL REPORT | 2016-03-24 |
ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State