| Entity Name: | RIVER CITY COMPANIONSHIP L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Oct 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L14000167771 |
| FEI/EIN Number | 47-2180885 |
| Address: | 7857 DELAROCHE DR, JACKSONVILLE, FL, 32210, US |
| Mail Address: | 7857 DELAROCHE DR, JACKSONVILLE, FL, 32210, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811412539 | 2017-08-03 | 2022-07-21 | 7857 DELAROCHE DR, JACKSONVILLE, FL, 322102566, US | 7857 DELAROCHE DRIVE, JACKSONVILLE, FL, 32210, US | |||||||||||||||||||||||||
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| Phone | +1 904-378-0561 |
| Fax | 9043780561 |
Authorized person
| Name | MRS. SHELI MARIE MCCALLISTER |
| Role | OWNER/CEO |
| Phone | 8502414937 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| License Number | 234691 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021062800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| McCallister Sheli M | Agent | 7857 DELAROCHE DR, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| MCCALLISTER SHELI M | Manager | 7857 DELAROCHE DR, JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2015-10-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-30 | McCallister, Sheli M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-04-05 |
| REINSTATEMENT | 2015-10-30 |
| Florida Limited Liability | 2014-10-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
