| Entity Name: | SUNSHINE HEART HOMECARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Sep 2013 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 02 Jul 2020 (5 years ago) |
| Document Number: | L13000124464 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 9378 ARLINGTON EXPRESSWAY, JACKSONVILLE, FL, 32225, US |
| Mail Address: | 9378 Arlington Expressway, #218, JACKSONVILLE, FL, 32225, US |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831520394 | 2013-12-10 | 2014-09-19 | 9378 ARLINGTON EXPY, 218, JACKSONVILLE, FL, 322258213, US | 9378 ARLINGTON EXPRESSWAY, 218, JACKSONVILLE, FL, 322257416, US | |||||||||||||||||||||||
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| Phone | +1 904-422-6647 |
Authorized person
| Name | JUDITH MCLEOD |
| Role | MANGER/OWNER |
| Phone | 9044226647 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 233389 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010775800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCLEOD JUDITH | Agent | 9378 Arlington Expressway, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| FENNELL-MCLEOD JUDITH | Manager | 9378 ARLINGTON EXPRESSWAY, JACKSONVILLE, FL, 32225 |
| MCLEOD DAMION | Manager | 9378 ARLINGTON EXPRESSWAY, JACKSONVILLE, FL, 32225 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000024363 | HEART TO HEART ASSISTED LIVING FACILITY | EXPIRED | 2017-03-07 | 2022-12-31 | No data | 5636 CALVIN AVE, JACKSONVILE, FL, 32208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-03 | 9378 ARLINGTON EXPRESSWAY, Suite 218, JACKSONVILLE, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-23 | 9378 ARLINGTON EXPRESSWAY, Suite 218, JACKSONVILLE, FL 32225 | No data |
| LC STMNT OF RA/RO CHG | 2020-07-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-07 | MCLEOD, JUDITH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-05-01 | 9378 Arlington Expressway, 218, JACKSONVILLE, FL 32225 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-04-20 |
| CORLCRACHG | 2020-07-02 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
