Entity Name: | HOME BY CHOICE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 21 Jul 2015 (10 years ago) |
Document Number: | L15000124693 |
FEI/EIN Number | 81-0886911 |
Address: | 15506 SW 140TH ST, LIVE OAK, FL 32060 |
Mail Address: | 15506 140TH STREET, LIVE OAK, FL 32060 |
ZIP code: | 32060 |
County: | Suwannee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205276912 | 2013-06-26 | 2013-06-26 | 4615 NW 53RD AVE STE C, GAINESVILLE, FL, 326534885, US | 4615 NW 53RD AVE, STE C, GAINESVILLE, FL, 326534885, US | |||||||||||||||||||||||
|
Phone | +1 352-376-4024 |
Authorized person
Name | MR. JOHN MARKHAM |
Role | ADMINISTRATOR/AGENT |
Phone | 3523764024 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
License Number | 29993307 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | HOME HEALTH AGENCY LICENSE |
Number | 29993307 |
State | FL |
Name | Role | Address |
---|---|---|
SALA, JUAN F | Agent | 15506 140TH STREET, LIVE OAK, FL 32060 |
Name | Role | Address |
---|---|---|
SALA, JUAN F | Manager | 15506 140TH STREET, LIVE OAK, FL 32060 |
SALA, ZURAMI | Manager | 15506 140TH STREET, LIVE OAK, FL 32060 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-26 | 15506 SW 140TH ST, LIVE OAK, FL 32060 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-26 | 15506 SW 140TH ST, LIVE OAK, FL 32060 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-26 | 15506 140TH STREET, LIVE OAK, FL 32060 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-26 |
ANNUAL REPORT | 2023-01-20 |
ANNUAL REPORT | 2022-03-07 |
ANNUAL REPORT | 2021-04-26 |
ANNUAL REPORT | 2020-06-08 |
ANNUAL REPORT | 2019-04-23 |
ANNUAL REPORT | 2018-04-23 |
ANNUAL REPORT | 2017-04-21 |
ANNUAL REPORT | 2016-04-22 |
Florida Limited Liability | 2015-07-21 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State