| Entity Name: | LITTLE ANGELS PEDIATRIC EXTENDED CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Oct 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Apr 2020 (5 years ago) |
| Document Number: | L16000183538 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 1400 W STATE RD 434, LONGWOOD, FL, 32750, US |
| Mail Address: | 1400 W STATE RD 434, LONGWOOD, FL, 32750, US |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730745134 | 2019-05-13 | 2019-10-21 | 1400 W STATE ROAD 434 STE 1000, LONGWOOD, FL, 327503817, US | 1400 W STATE ROAD 434 STE 1000, LONGWOOD, FL, 327503817, US | |||||||||||||||||||||||||||
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| Phone | +1 407-403-5822 |
| Fax | 4074035818 |
Authorized person
| Name | JANICE HATLEY |
| Role | BILING |
| Phone | 4077553127 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LITTLE ANGELS PEDIATRIC EXTENDED CARE 401(K) PLAN | 2023 | 814022421 | 2024-05-12 | LITTLE ANGELS PEDIATRIC EXTENDED CARE LLC | 14 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-12 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 4074035822 |
| Plan sponsor’s address | 1400 WEST STATE RD 434, 1000, LONGWOOD, FL, 32750 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Ambwani Jagdish | Agent | 1400 W STATE RD 434, LONGWOOD, FL, 32750 |
| Name | Role |
|---|---|
| GUARDIAN ANGEL HOLDINGS LLC | Auth |
| Name | Role | Address |
|---|---|---|
| Ambwani Jagdish | Manager | 1400 W State Road 434, LONGWOOD, FL, 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-02 | Ambwani, Jagdish | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-12 | 1400 W STATE RD 434, STE 1000, LONGWOOD, FL 32750 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-16 | 1400 W STATE RD 434, STE 1000, LONGWOOD, FL 32750 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-16 | 1400 W STATE RD 434, STE 1000, LONGWOOD, FL 32750 | No data |
| LC AMENDMENT | 2020-04-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-07 |
| LC Amendment | 2020-04-06 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-30 |
| AMENDED ANNUAL REPORT | 2018-08-02 |
| AMENDED ANNUAL REPORT | 2018-08-01 |
| AMENDED ANNUAL REPORT | 2018-04-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
