| Entity Name: | LEE SENIOR SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Oct 2014 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Jun 2019 (6 years ago) |
| Document Number: | L14000153921 |
| FEI/EIN Number | 47-1988899 |
| Address: | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 |
| Mail Address: | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104423862 | 2020-10-06 | 2023-08-04 | 9800 S HEALTHPARK DR STE 310, FORT MYERS, FL, 339083630, US | 16451 HEALTHPARK COMMONS DR, FORT MYERS, FL, 339089501, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 239-349-3300 |
| Fax | 2394182540 |
Authorized person
| Name | TROY CHURCHILL |
| Role | ADMINISTRATOR |
| Phone | 2393493296 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHURCHILL, TROY H | Agent | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 |
| Name | Role | Address |
|---|---|---|
| CHURCHILL, TROY H | Manager | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 |
| Name | Role | Address |
|---|---|---|
| Akin, Richard | Chairman | 1220 Westfield DRive, Fort Myers, FL 33919 |
| Name | Role | Address |
|---|---|---|
| Barraco, Carl | Vice Chairman | 2271 McGregor Boiulevard, #100 Fort Myers, FL 33901 |
| Name | Role | Address |
|---|---|---|
| McDaniel, Dawson | Secretary | 15050 Cemetery Road, Fort Myers, FL 33905 |
| Name | Role | Address |
|---|---|---|
| Catti, Joseph | Treasurer | 8695 College Parkway, Fort Myers, FL 33919 |
| Name | Role | Address |
|---|---|---|
| Fitzgerald, Dorothy | Director | 13870 Blenheim Trail Road, Fort Myers, FL 33908 |
| Nolan, Paul | Director | 16538 Cypress Villa Lane, Fort Myers, FL 33908 |
| Smoot, Thomas, III | Director | 2248 First Street, Fort Myers, FL 33901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000116465 | MEDICAL CARE BY CYPRESS AT HOME | ACTIVE | 2020-09-08 | 2025-12-31 | No data | LEE SENIOR SERVICES, LLC, 9800 S. HEALTHPARK DRIVE, SUITE 310, FORT MYERS, FL, 33908 |
| G20000042611 | HOME CARE BY CYPRESS AT HOME | ACTIVE | 2020-04-17 | 2025-12-31 | No data | 9800 S. HEALTHPARK DRIVE, SUITE 310, FORT MYERS, FL, 33908 |
| G20000042622 | CHOICES BY CYPRESS AT HOME | ACTIVE | 2020-04-17 | 2025-12-31 | No data | 9800 S. HEALTHPARK DRIVE, SUITE 310, FORT MYERS, FL, 33908 |
| G20000042616 | HOME HEALTH BY CYPRESS AT HOME | ACTIVE | 2020-04-17 | 2025-12-31 | No data | 9800 S. HEALTHPARK DRIVE, SUITE 310, FORT MYERS, FL, 33908 |
| G20000042620 | VIRTUAL CARE BY CYPRESS AT HOME | ACTIVE | 2020-04-17 | 2025-12-31 | No data | 9800 S. HEALTHPARK DRIVE, SUITE 310, FORT MYERS, FL, 33908 |
| G20000015341 | CYPRESS AT HOME | ACTIVE | 2020-02-03 | 2025-12-31 | No data | 9800 S HEALTHPARK DR., STE 310, FT. MYERS, FL, 33908 |
| G19000075480 | CYPRESS AT HOME | EXPIRED | 2019-07-11 | 2024-12-31 | No data | 9800 S. HEALTHPARK DRIVE, SUITE 310, FORT MYERS, FL, 33908 |
| G19000069791 | CYPRESS HOME CARE | EXPIRED | 2019-06-20 | 2024-12-31 | No data | 9800 S. HEALTHPARK DRIVE, SUITE 310, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-02 | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-02 | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 | No data |
| LC AMENDMENT | 2019-06-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-28 | CHURCHILL, TROY H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-02 |
| AMENDED ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-02-02 |
| AMENDED ANNUAL REPORT | 2020-07-31 |
| ANNUAL REPORT | 2020-02-24 |
| LC Amendment | 2019-06-14 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-01-11 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
