Entity Name: | J AND R QUALITY CARE SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 08 Dec 2016 (8 years ago) |
Document Number: | L16000222633 |
FEI/EIN Number | 81-4631338 |
Address: | 7510 HOLLY ST, MOUNT DORA, FL 32757 |
Mail Address: | P O BOX 204, APOPKA, FL 32704 |
ZIP code: | 32757 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841818176 | 2020-07-13 | 2020-07-13 | PO BOX 204, APOPKA, FL, 327040204, US | 236 W 17TH ST, APOPKA, FL, 327037022, US | |||||||||||||||||||
|
Phone | +1 407-427-0890 |
Authorized person
Name | MS. CAROL JOHNSON |
Role | OWNER |
Phone | 4074270890 |
Taxonomy
Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 019887300 |
State | FL |
Name | Role | Address |
---|---|---|
JOHNSON, CAROL A | Agent | 7510 HOLLY ST, MOUNT DORA, FL 32757 |
Name | Role | Address |
---|---|---|
JOHNSON, CAROL A | Manager | 7510 HOLLY ST, MOUNT DORA, FL 32757 |
Name | Role | Address |
---|---|---|
JOHNSON, COURTNEY K | Secretary | 7510 HOLLY ST, MOUNT DORA, FL 32757 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-01-30 | 7510 HOLLY ST, MOUNT DORA, FL 32757 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-01-30 | 7510 HOLLY ST, MOUNT DORA, FL 32757 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-03 |
ANNUAL REPORT | 2023-03-21 |
ANNUAL REPORT | 2022-02-04 |
ANNUAL REPORT | 2021-01-30 |
ANNUAL REPORT | 2020-01-09 |
ANNUAL REPORT | 2019-01-30 |
ANNUAL REPORT | 2018-01-26 |
ANNUAL REPORT | 2017-04-14 |
Florida Limited Liability | 2016-12-08 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State