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  5. UNIFY HEALTH SERVICES LLC

UNIFY HEALTH SERVICES LLC

Headquarter

Company Details

Entity Name: UNIFY HEALTH SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jan 2014 (11 years ago)
Document Number: L14000013969
FEI/EIN Number 46-4853516
Address: 12276 San Jose Blvd, Suite 724, Jacksonville, FL, 32223, US
Mail Address: 450-106 STATE ROAD 13, #147, Saint Johns, FL, 32259, US
ZIP code: 32223
County: Duval
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of UNIFY HEALTH SERVICES LLC, ALABAMA 000-322-537 ALABAMA
Headquarter of UNIFY HEALTH SERVICES LLC, KENTUCKY 0902639 KENTUCKY
Headquarter of UNIFY HEALTH SERVICES LLC, KENTUCKY 1116805 KENTUCKY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366868432 2014-03-12 2014-03-12 450-106 STATE RD 13 #147, ST JOHNS, FL, 32259, US 1307 WHISPERING PINES RD, SAINT JOHNS, FL, 322599186, US

Contacts
Phone +1 904-635-4638

Authorized person
Name KELLY INGRAM-MITCHELL
Role PRESIDENT
Phone 9046354638

Taxonomy
Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIFY HEALTH SERVICES 401(K) PROFIT SHARING PLAN & TRUST 2022 464853516 2023-06-16 UNIFY HEALTH SERVICES 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 8883145571
Plan sponsor’s address 12276 SAN JOSE BLVD STE 724, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES 401(K) PROFIT SHARING PLAN & TRUST 2021 464853516 2022-07-19 UNIFY HEALTH SERVICES 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 8883145571
Plan sponsor’s address 12276 SAN JOSE BLVD STE 724, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES 401(K) PROFIT SHARING PLAN & TRUST 2020 464853516 2021-06-18 UNIFY HEALTH SERVICES 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 8883145571
Plan sponsor’s address 12276 SAN JOSE BLVD STE 724, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2021-06-18
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES 401(K) PROFIT SHARING PLAN & TRUST 2019 464853516 2020-07-06 UNIFY HEALTH SERVICES 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 8883145571
Plan sponsor’s address 12276 SAN JOSE BLVD STE 724, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES LLC 401K PLAN 2018 464853516 2020-03-27 UNIFY HEALTH SERVICES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 9046354638
Plan sponsor’s address 450 STATE ROAD 13 STE 106, SAINT JOHNS, FL, 322593863

Signature of
Role Plan administrator
Date 2020-03-27
Name of individual signing KATHRYN INGRAM-MITCHELL
Valid signature Filed with authorized/valid electronic signature
UNIFYHEALTHSERVICESLLC401KPLAN 2018 464853516 2019-10-15 UNIFY HEALTH SERVICES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 9046354638
Plan sponsor’s address 450 STATE ROAD 13 STE 106, SAINT JOHNS, FL, 322593863

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing KATHRYN INGRAM-MITCHELL
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES LLC 401K PLAN 2017 464853516 2018-10-11 UNIFY HEALTH SERVICES LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 9046354638
Plan sponsor’s address 450-106-STATE ROAD 13 #147, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing KATHRYN INGRAM MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing KATHRYN INGRAM MITCHELL
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES LLC 401K PLAN 2016 464853516 2017-07-31 UNIFY HEALTH SERVICES LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 9046354638
Plan sponsor’s address 450-106-STATE ROAD 13 #147, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing KATHRYN INGRAM-MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing KATHRYN INGRAM-MITCHELL
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES LLC 401K PLAN 2015 464853516 2016-07-06 UNIFY HEALTH SERVICES LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 9046354638
Plan sponsor’s address 450-106-STATE ROAD 13 #147, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing KATHRYN KELLY INGRAM MITCHELL
Valid signature Filed with authorized/valid electronic signature
UNIFY HEALTH SERVICES LLC 401K PLAN 2014 464853516 2015-07-14 UNIFY HEALTH SERVICES LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621340
Sponsor’s telephone number 9046354638
Plan sponsor’s address 450-106-STATE ROAD 13 #147, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing KATHRYN KELLY INGRAM-MITCHELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
INGRAM-MITCHELL KATHRYN K Agent 1307 WHISPERING PINES ROAD, SAINT JOHNS, FL, 32259

Managing Member

Name Role Address
Ingram-Mitchell Kathryn K Managing Member 450-106 STATE ROAD 13 - #147, SAINT JOHNS, FL, 32259

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-18 12276 San Jose Blvd, Suite 724, Jacksonville, FL 32223 No data
CHANGE OF MAILING ADDRESS 2023-01-18 12276 San Jose Blvd, Suite 724, Jacksonville, FL 32223 No data
REGISTERED AGENT NAME CHANGED 2018-01-18 INGRAM-MITCHELL, KATHRYN KELLY No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-08
ANNUAL REPORT 2015-05-03

Related by officers

INGRAM-MITCHELL KATHRYN K

THE EFFECT LIFESTYLE PRACTICE, LLC INGRAM-MITCHELL LAND COMPANY, LLC INDUSTRIAL REHAB SOFTWARE SOLUTIONS, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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