| Entity Name: | SANDCASTLE CARE II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 May 2016 (9 years ago) |
| Document Number: | L16000094733 |
| FEI/EIN Number | 81-2621484 |
| Mail Address: | PO BOX 90, WINTER PARK, FL, 32790, US |
| Address: | 312 S. Woodland Blvd, Deland, FL, 32720, US |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275072902 | 2017-02-14 | 2021-11-09 | PO BOX 90, WINTER PARK, FL, 327900090, US | 312 S WOODLAND BLVD, DELAND, FL, 327205854, US | |||||||||||||||||||||||||||
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| Phone | +1 407-454-4892 |
| Fax | 8885052782 |
| Phone | +1 386-457-3519 |
Authorized person
| Name | MR. ALEXANDER CASTILLO |
| Role | PRESIDENT |
| Phone | 4074544892 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994610 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020026600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASTILLO ALEXANDER | Agent | 2481 Adelia Blvd, Deltona, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| Castillo Adriana M | Gene | 7346 Cook lane, Winter Park, FL, 32792 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000142678 | SANDCASTLE HOMECARE | ACTIVE | 2022-11-16 | 2027-12-31 | No data | PO BOX 90, WINTER PARK, FL, 32790 |
| G16000091064 | SANDCASTLE HOMECARE | EXPIRED | 2016-08-23 | 2021-12-31 | No data | PO BOX 805, DELAND, FL, 32721 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-25 | CASTILLO, ALEXANDER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-25 | 2481 Adelia Blvd, Deltona, FL 32725 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-06 | 312 S. Woodland Blvd, Deland, FL 32720 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-03-17 |
| Florida Limited Liability | 2016-05-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
