| Entity Name: | CSHHA NORTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Jul 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: | L14000109287 |
| FEI/EIN Number | 47-1311502 |
| Address: | 141 Sage Brush Trail, Suite E, Ormond Beach, FL, 32174, US |
| Mail Address: | 141 Sage Brush Trail, Suite E, Ormond Beach, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942608237 | 2014-12-18 | 2017-02-01 | 1370 SARNO ROAD, SUITE C, MELBOURNE, FL, 32935, US | 1370 SARNO ROAD, SUITE C, MELBOURNE, FL, 32935, US | |||||||||||||||||||||
|
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| Phone | +1 321-428-4866 |
| Fax | 3214284867 |
Authorized person
| Name | MS. TERESA A. RAGLAND |
| Role | PRESIDENT |
| Phone | 3863628552 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE # |
| Number | 299994435 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Portnoy Fred | Agent | 1509 ISLAND WAY, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| Portnoy Fred | Manager | 1509 ISLAND WAY, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| KIRSCHNER ANN M | Chief Financial Officer | 20503 KYLEMORE DRIVE, STRONGSVILLE, OH, 44149 |
| Name | Role | Address |
|---|---|---|
| RAGLAND TERESA | President | 173 HAWTHORN HEDGE LANE, ST JOHNS, FL, 32259 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000021622 | CORNERSTONE HOME CARE | EXPIRED | 2016-02-29 | 2021-12-31 | No data | 1600 W EAU GALLIE BLVD, SUITE 201V, MELBOURNE, FL, 32935 |
| G14000121054 | NIRVANA HOME HEALTH CARE | EXPIRED | 2014-12-03 | 2019-12-31 | No data | 700 STERTHAUS DR., ATN: JOYCE WILSON, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-05 | 141 Sage Brush Trail, Suite E, Ormond Beach, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-05 | 141 Sage Brush Trail, Suite E, Ormond Beach, FL 32174 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-18 | Portnoy, Fred | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-18 | 1509 ISLAND WAY, WESTON, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-02-23 |
| AMENDED ANNUAL REPORT | 2015-05-27 |
| ANNUAL REPORT | 2015-03-18 |
| Florida Limited Liability | 2014-07-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
