| Entity Name: | FL FALCON HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Apr 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Jul 2017 (8 years ago) |
| Document Number: | L17000082088 |
| FEI/EIN Number | 821191094 |
| Address: | 4116 WOODACRE LANE, TAMPA, FL, 33624, US |
| Mail Address: | 2653 Bruce B Downs Blvd, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508372475 | 2017-12-14 | 2017-12-19 | 3706 W IDLEWILD CIR APT 203, TAMPA, FL, 336145754, US | 3706 W IDLEWILD CIR APT 203, TAMPA, FL, 336145754, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 800-557-3173 |
| Fax | 8133482993 |
Authorized person
| Name | MRS. WAVENEY WILLIAMS |
| Role | ADMINISTRATOR |
| Phone | 8134460162 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 234950 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| License Number | 234950 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| License Number | 234950 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 376J00000X - Homemaker |
| License Number | 234950 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GITTENS WAVENEY | Agent | 3607 W IDLEWILD CIR, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| GITTENS WAVENEY J | Manager | 4116 WOODACRE LANE, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| GITTONS-WILLIAMS WAVENEY | Authorized Member | 4116 WOODACRE LANE, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-25 | 4116 WOODACRE LANE, TAMPA, FL 33624 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-12-04 | 4116 WOODACRE LANE, TAMPA, FL 33624 | No data |
| LC AMENDMENT | 2017-07-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-04-06 |
| LC Amendment | 2017-07-24 |
| Florida Limited Liability | 2017-04-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
