| Entity Name: | NELSON PRIORITY CARE L.L.C |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jun 2017 (8 years ago) |
| Document Number: | L17000138600 |
| FEI/EIN Number | 82-2005980 |
| Address: | 5878 Grace Ln,, JACKSONVILLE, FL 32205 |
| Mail Address: | 5878 Grace Ln,, JACKSONVILLE, FL 32205 |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023757739 | 2022-06-01 | 2022-06-10 | 2125 HYDE PARK RD APT 21, JACKSONVILLE, FL, 322103876, US | 2125 HYDE PARK RD APT 21, JACKSONVILLE, FL, 322103876, US | |||||||||||||||||||||||||
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| Phone | +1 904-400-2232 |
Authorized person
| Name | FAYE NELSON |
| Role | OWNER |
| Phone | 9044002232 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103961500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 021424200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Nelson, FAYE | Agent | 5878 Grace Ln,, JACKSONVILLE, FL 32205 |
| Name | Role | Address |
|---|---|---|
| NELSON, FAYE | PRESIDENT | 5878 Grace Ln,, JACKSONVILLE, FL 32205 |
| Name | Role | Address |
|---|---|---|
| Nelson, FAYE | President | 5878 Grace Ln,, JACKSONVILLE, FL 32205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-11 | 5878 Grace Ln,, JACKSONVILLE, FL 32205 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-21 | 5878 Grace Ln,, JACKSONVILLE, FL 32205 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-21 | 5878 Grace Ln,, JACKSONVILLE, FL 32205 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-19 | 1403 Dunn Ave, ste 2 # 304, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-09 | Nelson, FAYE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-03-09 |
| Florida Limited Liability | 2017-06-26 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
