| Entity Name: | SUPERIOR CARE HOME HEALTH AGENCY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jul 2015 (10 years ago) |
| Document Number: | L15000122442 |
| FEI/EIN Number | 474594818 |
| Address: | 1111 SE FEDERAL HIGHWAY, STUART, FL, 34994, US |
| Mail Address: | 1111 SE FEDERAL HIGHWAY, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760867477 | 2015-07-23 | 2016-08-22 | 1320 SE FEDERAL HWY, SUITE 202, STUART, FL, 349943407, US | 1320 SE FEDERAL HWY, SUITE 202, STUART, FL, 349943407, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-678-6994 |
| Fax | 8775819583 |
Authorized person
| Name | EUNICE EKUFU |
| Role | ADMINISTRATOR/DON |
| Phone | 7726786994 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994443 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016515900 |
| State | FL |
| Issuer | NPI |
| Number | 1760867477 |
| State | FL |
| Issuer | FLORIDA LICENSE |
| Number | 299994443 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EKUFU EUNICE | Agent | 11111 SE FEDERAL HIGHWAY, Stuart, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| EKUFU EUNICE | Member | 5517 SW BELLFLOWER COURT, PALM CITY, FL, 34990 |
| EKUFU JOHN SR. | Member | 5517 SW BELLFLOWER COURT, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| EKUFU JOHN JR. | Authorized Representative | 2173 SE GRAND DRIVE, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-27 | 11111 SE FEDERAL HIGHWAY, SUITE 227, Stuart, FL 34994 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-13 | 1111 SE FEDERAL HIGHWAY, STE 227, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-13 | 1111 SE FEDERAL HIGHWAY, STE 227, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-03-06 |
| Florida Limited Liability | 2015-07-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
