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GREATER VISION FAMILY CARE HOME LLC - Florida Company Profile

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Company Details

Entity Name: GREATER VISION FAMILY CARE HOME LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jun 2016 (9 years ago)
Document Number: L16000117732
FEI/EIN Number 81-3045080
Mail Address: 788 Montgomery Ave, Ocoee, FL, 34761, US
Address: 788 Montgomery Ave, OCOEE, FL, 34761, US
ZIP code: 34761
City: Ocoee
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Stallworth Vernet Manager 788 Montgomery Ave, Ocoee, FL, 34761

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
KRISTEN JOHNSON
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3301307
Trade Name:
GREATER VISION HOME CARE

Unique Entity ID

Unique Entity ID:
FQVHP4PDJ2G5
CAGE Code:
9YT50
UEI Expiration Date:
2026-05-28

Business Information

Doing Business As:
GREATER VISION HOME CARE
Activation Date:
2025-05-30
Initial Registration Date:
2024-07-23

National Provider Identifier

NPI Number:
1124479746

Authorized Person:

Name:
CHEVON STALLWORTH
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
No
Selected Taxonomy:
320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary:
No
Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
Yes

Contacts:

Fax:
4076142420

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-08-22 788 Montgomery Ave, Suite 200, OCOEE, FL 34761 -
CHANGE OF MAILING ADDRESS 2021-03-14 788 Montgomery Ave, Suite 200, OCOEE, FL 34761 -
REGISTERED AGENT ADDRESS CHANGED 2021-03-14 788 Montgomery Ave, Suite 2400, Ocoee, FL 34761 -

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-05-03
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-03-12
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-04-13
ANNUAL REPORT 2017-03-16
Florida Limited Liability 2016-06-17

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Date of last update: 01 Aug 2025

Sources: Florida Department of State