| Entity Name: | SOUTHEAST HOMECARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Oct 2013 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Dec 2022 (2 years ago) |
| Document Number: | L13000151346 |
| FEI/EIN Number | 26-4771656 |
| Address: | 3403 NW 82nd Avenue, Suite 210, Doral, FL 33122 |
| Mail Address: | 3403 NW 82nd Avenue, Suite 210, Doral, FL 33122 |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003041823 | 2009-05-22 | 2019-09-18 | 3125 W. COMMERCIAL BLVD., SUITE 110, FT. LAUDERDALE, FL, 33309, US | 3125 W COMMERCIAL BLVD, SUITE 110, FORT LAUDERDALE, FL, 333093448, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-615-6200 |
| Fax | 9546156202 |
Authorized person
| Name | LINDA MENDEZ |
| Role | CHIEF OPERATING OFFICER |
| Phone | 8442154264 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA299991990 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER NUMBER |
| Number | 108138 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GILCHRIST, MARK | Agent | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025-3912 |
| Name | Role | Address |
|---|---|---|
| MENDEZ, LINDA | Chief Operating Officer | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| MENDEZ, LINDA | Director | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025 |
| BRADBURY, CHRISTOPHER J. | Director | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025 |
| KLINK, DONALD K | Director | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025 |
| Nimmagadda, Ajani | Director | 3700 COMMERCE PARKWAY, Miramar, FL 33025 |
| Name | Role | Address |
|---|---|---|
| KLINK, DONALD K | Chief Financial Officer | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| Nimmagadda, Ajani | Chief Marketing Officer | 3700 COMMERCE PARKWAY, Miramar, FL 33025 |
| Name | Role | Address |
|---|---|---|
| Nimmagadda, Ajani | Vice President | 3700 COMMERCE PARKWAY, Miramar, FL 33025 |
| Name | Role | Address |
|---|---|---|
| BRADBURY, CHRISTOPHER J. | Chief Executive Officer | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000033606 | SOUTHEAST HOMECARE | ACTIVE | 2019-03-13 | 2029-12-31 | No data | 7719 NW 48TH ST, SUITE 230,330,340, DORAL, FL, 33166 |
| G13000113389 | SOUTHEAST HOMECARE | EXPIRED | 2013-11-19 | 2018-12-31 | No data | 14101 COMMERCE WAY, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-17 | 3403 NW 82nd Avenue, Suite 210, Doral, FL 33122 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-17 | 3403 NW 82nd Avenue, Suite 210, Doral, FL 33122 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-07 | GILCHRIST, MARK | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-07 | 3700 COMMERCE PARKWAY, MIRAMAR, FL 33025-3912 | No data |
| LC AMENDMENT | 2022-12-13 | No data | No data |
| LC AMENDMENT | 2018-09-14 | No data | No data |
| REINSTATEMENT | 2017-05-12 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-05-12 | No data | No data |
| ADMIN DISSOLUTION FOR REGISTERED AGENT | 2017-05-05 | No data | No data |
| LC AMENDMENT | 2015-08-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| AMENDED ANNUAL REPORT | 2024-10-07 |
| ANNUAL REPORT | 2024-02-12 |
| AMENDED ANNUAL REPORT | 2023-08-22 |
| ANNUAL REPORT | 2023-02-07 |
| LC Amendment | 2022-12-13 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-02-21 |
| ANNUAL REPORT | 2019-03-13 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
