| Entity Name: | BY YOUR SIDE HOME CARE SERVICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2017 (8 years ago) |
| Document Number: | L17000035605 |
| FEI/EIN Number | 82-0823975 |
| Address: | 4425 Lafayette ST, MARIANNA, FL, 32446, US |
| Mail Address: | 4425 Lafayette St, MARIANNA, FL, 32446, US |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023510716 | 2018-03-08 | 2020-03-23 | 2816B HIGHWAY 71, MARIANNA, FL, 324468193, US | 2816B HIGHWAY 71, MARIANNA, FL, 324468193, US | |||||||||||||||||||||||
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| Phone | +1 850-372-4883 |
Authorized person
| Name | ALESHA PATTON PRIDGEN |
| Role | ADMINISTRATOR |
| Phone | 8503724883 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104625200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PRIDGEN ALESHA | Agent | 2978 PARK ST., MARIANNA, FL, 32446 |
| Name | Role | Address |
|---|---|---|
| PRIDGEN ALESHA | Manager | 2978 PARK ST., MARIANNA, FL, 32446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-11 | 4425 Lafayette ST, Suite 6, MARIANNA, FL 32446 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-11 | 4425 Lafayette ST, Suite 6, MARIANNA, FL 32446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-15 |
| Florida Limited Liability | 2017-02-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
