| Entity Name: | FUTURE SIXCESS ASSISTED LIVING FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Mar 2017 (8 years ago) |
| Document Number: | L17000055717 |
| FEI/EIN Number | 82-0749733 |
| Address: | 2530 NORTH PEARL STREET, JACKSONVILLE, FL 32206 |
| Mail Address: | 2530 NORTH PEARL STREET, JACKSONVILLE, FL 32206 |
| ZIP code: | 32206 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750875977 | 2018-06-20 | 2018-06-20 | 11036 LYDIA ESTATES DR W, JACKSONVILLE, FL, 322186937, US | 11036 LYDIA ESTATES DR W, JACKSONVILLE, FL, 322186937, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 904-305-1608 |
Authorized person
| Name | MRS. LACENDIA MITCHELL |
| Role | PRESIDENT |
| Phone | 9043051608 |
Taxonomy
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1578069209 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITCHELL, LACENDIA Y | Agent | 11036 LYDIA ESTATES DRIVE WEST, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, LACENDIA Y | Manager | 11036 LYDIA ESTATES DRIVE WEST, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, TAVOSIA C | Authorized Representative | 11036 LYDIA ESTATES DRIVE WEST, JACKSONVILLE, FL 32218 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| Florida Limited Liability | 2017-03-10 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
