Entity Name: | GRACE IN HOME PRIMARY CARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 18 Mar 2014 (11 years ago) |
Date of dissolution: | 27 Sep 2019 (5 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2019 (5 years ago) |
Document Number: | L14000044674 |
FEI/EIN Number | 46-5171445 |
Address: | 10460 ROOSEVELT BLVD NORTH, SUITE 294, ST. PETERSBURG, FL, 33716, US |
Mail Address: | 10460 ROOSEVELT BLVD NORTH, SUITE 294, ST. PETERSBURG, FL, 33716, US |
ZIP code: | 33716 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427477249 | 2014-04-09 | 2014-04-09 | 10460 ROOSEVELT BLVD N, SUITE 294, ST PETERSBURG, FL, 337163821, US | 10460 ROOSEVELT BLVD N, SUITE 294, ST PETERSBURG, FL, 337163821, US | |||||||||||||||||
|
Phone | +1 727-259-9523 |
Authorized person
Name | MS. JAYMIE FRANKEL |
Role | OWNER |
Phone | 7272599523 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
License Number | ARNP2731922 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FRANKEL JAYMIE | Agent | 10460 ROOSEVELT BLVD NORTH, ST. PETERSBURG, FL, 33716 |
Name | Role | Address |
---|---|---|
FRANKEL JAYMIE | Managing Member | 10460 ROOSEVELT BLVD NORTH SUITE 294, ST. PETERSBURG, FL, 33716 |
ASALITA TRACY | Managing Member | 10460 ROOSEVELT BOULEVARD NORTH SUITE 294, ST. PETERSBURG, FL, 33716 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
REINSTATEMENT | 2018-10-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2018-10-27 | FRANKEL, JAYMIE | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2018-10-27 |
ANNUAL REPORT | 2016-04-18 |
ANNUAL REPORT | 2015-04-17 |
Florida Limited Liability | 2014-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State