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J AND R QUALITY CARE SERVICES LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
JOHNSON, CAROL A Agent 7510 HOLLY ST, MOUNT DORA, FL 32757

Manager

Name Role Address
JOHNSON, CAROL A Manager 7510 HOLLY ST, MOUNT DORA, FL 32757

Secretary

Name Role Address
JOHNSON, COURTNEY K Secretary 7510 HOLLY ST, MOUNT DORA, FL 32757

Events

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

Documents

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