| Entity Name: | GUARDIAN HOME CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jan 2016 (9 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 09 Dec 2016 (8 years ago) |
| Document Number: | L16000018306 |
| FEI/EIN Number | 81-1759923 |
| Address: | 50 N. Laura Street STE. 2500, Jacksonville, FL, 32202, US |
| Mail Address: | 731 Duval Station RD, STE 107-416, Jacksonville, FL, 32218, US |
| ZIP code: | 32202 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821536046 | 2017-02-08 | 2024-03-26 | 50 N LAURA ST STE 2500, JACKSONVILLE, FL, 322023646, US | 50 N LAURA ST STE 2500, JACKSONVILLE, FL, 322023646, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-572-2162 |
Authorized person
| Name | VANESSA ALICIA CHAPMAN |
| Role | ADMINISTRATOR |
| Phone | 9045722162 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104508700 |
| State | FL |
| Name | Role |
|---|---|
| MAJESTIC HEALTHCARE SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Chapman Vanessa | Owne | 731 Duval Station Rd. 107-416, Jacksonville, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-25 | Majestic Healthcare Services,LLc | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-19 | 50 N. Laura Street STE. 2500, Jacksonville, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-16 | 50 N. Laura Street STE. 2500, Jacksonville, FL 32202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-16 | 50 N. Laura Street STE. 2500, Jacksonville, FL 32202 | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-12-09 | GUARDIAN HOME CARE SERVICES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-25 |
| AMENDED ANNUAL REPORT | 2022-08-19 |
| AMENDED ANNUAL REPORT | 2022-08-16 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
