| Entity Name: | A-1 COMMUNITY CHOICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Apr 2015 (10 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L15000067517 |
| FEI/EIN Number | 47-4029626 |
| Address: | 1551 Garden St., Titusville, FL, 32796, US |
| Mail Address: | 1551 Garden St., Titusville, FL, 32796, US |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194912659 | 2007-09-28 | 2014-10-31 | 350 N WASHINGTON AVE, SUITE B, TITUSVILLE, FL, 327965806, US | 350 N WASHINGTON AVE, SUITE B, TITUSVILLE, FL, 327965806, US | |||||||||||||||||||||
|
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| Phone | +1 321-269-8563 |
Authorized person
| Name | ELIZABETH SHOCKLEE |
| Role | OWNER |
| Phone | 3212698563 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 691342396 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Devine ELIZABETH | Agent | 1551 Garden St., Titusville, FL, 32796 |
| Name | Role | Address |
|---|---|---|
| Devine Elizabeth Mrs. | Manager | 1551 Garden St., Titusville, FL, 32796 |
| MIRAVALLE ASHLEY LMRS. | Manager | 1551 Garden St, Titusville, FL, 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-13 | 1551 Garden St., Titusville, FL 32796 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-13 | Devine, ELIZABETH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-13 | 1551 Garden St., Titusville, FL 32796 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-13 | 1551 Garden St., Titusville, FL 32796 | No data |
| REINSTATEMENT | 2016-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-11 |
| REINSTATEMENT | 2016-10-24 |
| Florida Limited Liability | 2015-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
