| Entity Name: | SURCAN HOLDINGS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jun 2013 (12 years ago) |
| Date of dissolution: | 12 Jan 2023 (2 years ago) |
| Last Event: | PENDING REINSTATEMENT |
| Event Date Filed: | 12 Jan 2023 (2 years ago) |
| Document Number: | L13000092967 |
| FEI/EIN Number | 46-3078067 |
| Address: | 217 N Seacrest Blvd, Boynton Beach, FL, 33425, US |
| Mail Address: | 217 N Seacrest Blvd, Boynton Beach, FL, 33411, US |
| ZIP code: | 33425 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821540535 | 2016-10-28 | 2016-10-28 | 217 N SEACREST BLVD, SUITE #712, BOYNTON BEACH, FL, 334256901, US | 217 N SEACREST BLVD, SUITE #712, BOYNTON BEACH, FL, 334256901, US | |||||||||||||||||||||||
|
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| Phone | +1 561-247-9069 |
Authorized person
| Name | LYNROD DOUGLAS |
| Role | ADMINISTRATOR |
| Phone | 5612479069 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 233329 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010134400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOUGLAS MILLICENT | Agent | 116 MONTEREY WAY, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS MILLICENT | Managing Member | 217 N Seacrest Blvd, Boynton Beach, FL, 33425 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000085965 | MINK CONCIERGE | EXPIRED | 2019-08-14 | 2024-12-31 | No data | 116 MONTEREY WAY, ROYAL PALM BEACH, FL, 33411 |
| G13000093889 | MINK CONCIERGE | EXPIRED | 2013-09-23 | 2018-12-31 | No data | 217 N SEACREST BLVD #712, BOYNTON BEACH, FL, 33425 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-13 | 217 N Seacrest Blvd, #712, Boynton Beach, FL 33425 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-13 | DOUGLAS, MILLICENT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-09-16 | 116 MONTEREY WAY, # 712, ROYAL PALM BEACH, FL 33411 | No data |
| LC STMNT OF RA/RO CHG | 2019-09-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-17 | 217 N Seacrest Blvd, #712, Boynton Beach, FL 33425 | No data |
| REINSTATEMENT | 2015-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-13 |
| CORLCRACHG | 2019-09-16 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-25 |
| REINSTATEMENT | 2015-10-09 |
| Florida Limited Liability | 2013-06-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
