| Entity Name: | KM HOME CARE LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2016 (9 years ago) |
| Document Number: | L16000073434 |
| FEI/EIN Number | NOT APPLICABLE |
| Mail Address: | 1512 plantation pointe dr, Orlando, FL, 32824, US |
| Address: | 4861 S ORANGE AVE, UNIT 4A, ORLANDO, FL, 32806, US |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376111930 | 2021-06-11 | 2022-07-18 | 4861 S ORANGE AVE STE 4A, ORLANDO, FL, 328066949, US | 4861 S ORANGE AVE STE 4A, ORLANDO, FL, 328066949, US | |||||||||||||||||
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| Phone | +1 877-400-5648 |
Authorized person
| Name | ANA V EXPOSITO |
| Role | CEO |
| Phone | 7863105591 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KM HOME CARE LLC, 401(K) PLAN | 2021 | 812287103 | 2022-12-23 | KM HOME CARE LLC | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-12-23 |
| Name of individual signing | SHIRLEY L HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 7862850947 |
| Plan sponsor’s address | 4861 S ORANGE AVE, UNIT 4A, ORLANDO, FL, 32806 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-21 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| EXPOSITO ANA V | Agent | 2100 W 76 ST, Hialeah, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| EXPOSITO ANA V | President | 1911 NW 10 TER, HOMESTEAD, FL, 33030 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000076552 | KM HOME CARE ORLANDO | ACTIVE | 2023-06-26 | 2028-12-31 | No data | 4861 S ORANGE AVE #4, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-22 | 4861 S ORANGE AVE, UNIT 4A, ORLANDO, FL 32806 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-11 | 2100 W 76 ST, # 407, Hialeah, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-19 | 4861 S ORANGE AVE, UNIT 4A, ORLANDO, FL 32806 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-02-16 |
| Florida Limited Liability | 2016-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
