| Entity Name: | GRACE CARE SER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GRACE CARE SER LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 07 Apr 2016 (9 years ago) |
| Document Number: | L16000069721 |
| FEI/EIN Number |
81-2136014
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 395 E CENTRAL AVE, WINTER HAVEN, FL, 33880, US |
| Mail Address: | 395 E CENTRAL AVE, WINTER HAVEN, FL, 33880, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619331451 | 2016-04-07 | 2023-06-29 | 395 E CENTRAL AVE, WINTER HAVEN, FL, 338803047, US | 395 E CENTRAL AVE, WINTER HAVEN, FL, 338803047, US | |||||||||||||||||||||||||
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| Phone | +1 863-585-0147 |
| Fax | 8638755348 |
Authorized person
| Name | SHANELL S CODY |
| Role | OWNER |
| Phone | 8635850147 |
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 | 017257100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CODY SHANELL | Authorized Representative | 4130 Country Club Rd S, WINTER HAVEN, FL, 33881 |
| CODY SHANELL | Agent | 395 E CENTRAL AVE, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-07 | 395 E CENTRAL AVE, WINTER HAVEN, FL 33880 | - |
| CHANGE OF MAILING ADDRESS | 2022-02-07 | 395 E CENTRAL AVE, WINTER HAVEN, FL 33880 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-07 | 395 E CENTRAL AVE, WINTER HAVEN, FL 33880 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-08-14 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-11 |
| Florida Limited Liability | 2016-04-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5067698801 | 2021-04-17 | 0455 | PPS | 1145 1st St S, Winter Haven, FL, 33880-3902 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P3371309 | GRACE CARE SER LLC | - | V87KC82UCEJ5 | 395 E CENTRAL AVE, WINTER HAVEN, FL, 33880- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621610 |
| NAICS Code's Description | Home Health Care Services |
| Buy Green | Yes |
| Code | 624120 |
| NAICS Code's Description | Services for the Elderly and Persons with Disabilities |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
