| Entity Name: | FURTHERANCE PRIVATE CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Jun 2015 (10 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L15000106155 |
| Address: | 5247 Cleveland Rd, JACKSONVILLE, FL 32209 |
| Mail Address: | 5247 Cleveland Rd, JACKSONVILLE, FL 32209 |
| ZIP code: | 32209 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568902039 | 2017-03-03 | 2017-03-13 | 7620 ORIOLE ST, JACKSONVILLE, FL, 322083245, US | 7620 ORIOLE ST, JACKSONVILLE, FL, 322083245, US | |||||||||||||||||||||||
|
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| Phone | +1 904-866-6035 |
Authorized person
| Name | MS. NORRISA SPENCER |
| Role | OWNER |
| Phone | 9048666035 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 234513 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018344800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPENCER, NORRISA | Agent | 5247 Cleveland Rd, JACKSONVILLE, FL 32209 |
| Name | Role | Address |
|---|---|---|
| Spencer, Norrisa | Manager | 5247 Cleveland Rd, JACKSONVILLE, FL 32209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-06-13 | 5247 Cleveland Rd, JACKSONVILLE, FL 32209 | No data |
| REINSTATEMENT | 2019-06-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-06-13 | 5247 Cleveland Rd, JACKSONVILLE, FL 32209 | No data |
| CHANGE OF MAILING ADDRESS | 2019-06-13 | 5247 Cleveland Rd, JACKSONVILLE, FL 32209 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-06 | SPENCER, NORRISA | No data |
| REINSTATEMENT | 2017-03-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-07-25 | FURTHERANCE PRIVATE CARE LLC | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-06-13 |
| REINSTATEMENT | 2017-03-06 |
| LC Amendment and Name Change | 2016-07-25 |
| Florida Limited Liability | 2015-06-18 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
