| Entity Name: | FOOTPRINTS HOME CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Jul 2017 (8 years ago) |
| Document Number: | L17000149753 |
| FEI/EIN Number | 82-2141026 |
| Address: | 35324 State Road 54, Zephyrhills, FL, 33541, US |
| Mail Address: | 35324 State Road 54, Zephyrhills, FL, 33541, US |
| ZIP code: | 33541 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679092985 | 2017-09-18 | 2023-11-01 | 35324 SR 54, ZEPHYRHILLS, FL, 335411942, US | 2310 WHITEWOOD AVE, SPRING HILL, FL, 346095061, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-395-5269 |
| Phone | +1 813-345-7067 |
Authorized person
| Name | YVONNE LEKELEFAC |
| Role | MEMBER |
| Phone | 2605796648 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 679403 |
| State | FL |
| Issuer | AHCA |
| Number | PENDING |
| State | FL |
| Issuer | AHCA |
| Number | 11920 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEKELEFAC YVONNE E | Agent | 35324 State Road 54, Zephyrhills, FL, 33541 |
| Name | Role | Address |
|---|---|---|
| LEKELEFAC YVONNE E | Manager | 35324 State Road 54, Zephyrhills, FL, 33541 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000106347 | SANTA LUCIA ALF | ACTIVE | 2024-08-30 | 2029-12-31 | No data | 35324 STATE RD 54, ZEPHYRHILLS, FL, 33541 |
| G23000134501 | RAINBOW GARDENS ALF | ACTIVE | 2023-11-01 | 2028-12-31 | No data | 35324 STATE RD 54, ZEPHYRHILLS, FL, 33541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-27 | 35324 State Road 54, Zephyrhills, FL 33541 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-27 | 35324 State Road 54, Zephyrhills, FL 33541 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-27 | 35324 State Road 54, Zephyrhills, FL 33541 | No data |
| LC AMENDMENT | 2017-07-21 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000060246 | TERMINATED | 1000000914690 | PASCO | 2022-01-27 | 2032-02-02 | $ 5,947.29 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-07-19 |
| ANNUAL REPORT | 2018-03-27 |
| LC Amendment | 2017-07-21 |
| Florida Limited Liability | 2017-07-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
