Search icon

SHENANDOAH MEDICAL CARE CENTER "LLC" - Florida Company Profile

Company Details

Entity Name: SHENANDOAH MEDICAL CARE CENTER "LLC"
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SHENANDOAH MEDICAL CARE CENTER "LLC" is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 31 Mar 2014 (11 years ago)
Document Number: L14000052601
FEI/EIN Number 46-5283443

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6234 South Congress Ave.,, LANTANA, FL, 33462, US
Mail Address: PO Box 741424, BOYNTON BEACH, FL, 33474, US
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417494154 2017-01-19 2017-01-19 PO BOX 741424, BOYNTON BEACH, FL, 334741424, US 6234 S CONGRESS AVE, SUITE F-1, LANTANA, FL, 334622307, US

Contacts

Phone +1 561-619-9510

Authorized person

Name MISS JOY L FULLER
Role OWNER
Phone 5618537233

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 2602122
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 010866400
State FL

Key Officers & Management

Name Role Address
MOWETT-FULLER JOY L President 6234 South Congress Ave.,, LANTANA, FL, 33462
FULLER Danielle G Chief Operating Officer 6234 South Congress Ave.,, LANTANA, FL, 33462
MOWETT-FULLER JOY L Agent 6234 S. Congress Ave, Lanatana, FL, 33462

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-14 MOWETT-FULLER, JOY L -
REGISTERED AGENT ADDRESS CHANGED 2020-03-01 6234 S. Congress Ave, Suite F-1, Lanatana, FL 33462 -
CHANGE OF PRINCIPAL ADDRESS 2017-04-18 6234 South Congress Ave.,, Suite F-1, LANTANA, FL 33462 -
CHANGE OF MAILING ADDRESS 2016-04-10 6234 South Congress Ave.,, Suite F-1, LANTANA, FL 33462 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-03
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-12
ANNUAL REPORT 2021-03-21
ANNUAL REPORT 2020-03-01
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-03-24
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7167117410 2020-05-15 0455 PPP 6234 S CONGRESS AVE STE F1, LANTANA, FL, 33462-2307
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 5584
Loan Approval Amount (current) 5584
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address LANTANA, PALM BEACH, FL, 33462-2307
Project Congressional District FL-22
Number of Employees 4
NAICS code 623110
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 5625.31
Forgiveness Paid Date 2021-02-16

Date of last update: 01 Mar 2025

Sources: Florida Department of State