| Entity Name: | GREATER VISION STAFFING AGENCY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jan 2016 (9 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 14 Jan 2021 (4 years ago) |
| Document Number: | L16000015340 |
| FEI/EIN Number | 81-1177639 |
| Address: | 788 Montgomery Ave, Ocoee, FL 34761 |
| Mail Address: | 788 Montgomery Ave, Ocoee, FL 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083069074 | 2016-04-27 | 2020-07-16 | 485 N KELLER RD STE 101, MAITLAND, FL, 327517536, US | 485 N KELLER RD STE 101, MAITLAND, FL, 327517536, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 407-473-2837 |
Authorized person
| Name | VERNET STALLWORTH |
| Role | PRESIDENT |
| Phone | 4074617762 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | No |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018600200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STALLWORTH, VERNET | Agent | 788 Montgomery Ave, Ocoee, FL 34761 |
| Name | Role | Address |
|---|---|---|
| STALLWORTH, VERNET | President | 788 Montgomery Ave, Ocoee, FL 34761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000056654 | GREATER VISION FAMILY CARE HOME | EXPIRED | 2016-06-08 | 2021-12-31 | No data | P.O. BOX 918, OCOEE, FL, 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-07 | 788 Montgomery Ave, Ocoee, FL 34761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-07 | 788 Montgomery Ave, Ocoee, FL 34761 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-07 | 788 Montgomery Ave, Ocoee, FL 34761 | No data |
| LC NAME CHANGE | 2021-01-14 | GREATER VISION STAFFING AGENCY LLC | No data |
| LC NAME CHANGE | 2020-11-16 | GREATER VISION STAFFING SOLUTIONS LLC | No data |
| LC NAME CHANGE | 2018-07-02 | GREATER VISION STAFFING AGENCY, LLC | No data |
| LC AMENDMENT | 2016-09-15 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-05-11 | GREATER VISION HEALTHCARE SERVICES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-07 |
| LC Name Change | 2021-01-14 |
| LC Name Change | 2020-11-16 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-04-01 |
| LC Name Change | 2018-07-02 |
| ANNUAL REPORT | 2018-04-13 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
