| Entity Name: | LARUE ESTATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Feb 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Oct 2018 (6 years ago) |
| Document Number: | L17000026652 |
| FEI/EIN Number | 81-5078878 |
| Address: | 550 Balmoral Cir N, JACKSONVILLE, FL, 32218, US |
| Mail Address: | 550 Balmoral Cir N, JACKSONVILLE, FL, 32218, US |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124533948 | 2017-12-04 | 2017-12-04 | 8426 DELAWARE AVE, JACKSONVILLE, FL, 322082841, US | 8426 DELAWARE AVE, JACKSONVILLE, FL, 322082841, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-370-3575 |
| Fax | 9046830147 |
Authorized person
| Name | JOHNEL GRIGGS |
| Role | OWNER |
| Phone | 9043703575 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1508222076 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Blount KENISHA | Agent | 550 Balmoral Cir N, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| Blount Kenisha | Chief Executive Officer | 550 Balmoral Cir N, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| Mixson Azana | Chief Operating Officer | 550 Balmoral Cir N, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| Brown Akili | Auth | 550 Balmoral Cir N, JACKSONVILLE, FL, 32218 |
| BLOUNT AJANI | Auth | 550 Balmoral Cir N, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-28 | Blount, KENISHA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 550 Balmoral Cir N, 302, JACKSONVILLE, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 550 Balmoral Cir N, 302, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 550 Balmoral Cir N, 302, JACKSONVILLE, FL 32218 | No data |
| REINSTATEMENT | 2018-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000065504 | TERMINATED | 1000000856936 | DUVAL | 2020-01-22 | 2030-01-29 | $ 421.35 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-06-02 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| REINSTATEMENT | 2018-10-20 |
| Florida Limited Liability | 2017-02-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
