| Entity Name: | KJ KARING GIFTS OF LIFE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Mar 2016 (9 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 26 Feb 2021 (4 years ago) |
| Document Number: | L16000043907 |
| FEI/EIN Number | 81-1012731 |
| Address: | 920 Susan Drive, Lakeland, FL 33803 |
| Mail Address: | 920 Susan Drive, Lakeland, FL 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154806883 | 2018-09-27 | 2021-05-23 | 920 SUSAN DR, LAKELAND, FL, 338031910, US | 920 SUSAN DR, LAKELAND, FL, 338031910, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 863-940-7251 |
Authorized person
| Name | MRS. GENEVIEVE PEAKER |
| Role | OWNER |
| Phone | 8639407251 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102136100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 018975000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEAKER, GENEVIEVE | Agent | 920 Susan Drive, Lakeland, FL 33803 |
| Name | Role | Address |
|---|---|---|
| PEAKER, GENEVIEVE E | Manager | 920 Susan Drive, Lakeland, FL 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2021-02-26 | KJ KARING GIFTS OF LIFE, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-13 | 920 Susan Drive, Lakeland, FL 33803 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-13 | 920 Susan Drive, Lakeland, FL 33803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-13 | 920 Susan Drive, Lakeland, FL 33803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| LC Name Change | 2021-02-26 |
| ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-29 |
| Florida Limited Liability | 2016-03-02 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
