| Entity Name: | ULTIMATE HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 Jan 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L18000012274 |
| FEI/EIN Number | 82-4189147 |
| Address: | 1583 W. 18TH STREET, N/A, JACKSONVILLE, FL 32209 |
| Mail Address: | P. O. BOX 12305, N/A, JACKSONVILLE, FL 32209 |
| ZIP code: | 32209 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376043505 | 2018-02-14 | 2018-02-14 | PO BOX 12305, JACKSONVILLE, FL, 322090305, US | 1583 W 18TH ST, JACKSONVILLE, FL, 322094866, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-234-1982 |
Authorized person
| Name | MS. MARSHA MILLER |
| Role | OWNER/CEO |
| Phone | 9042341982 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | PN1316831 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 685158496 |
| State | FL |
| Issuer | MEDICAID |
| Number | 689294900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILLER, MARSHA P | Agent | 1583 W. 18TH STREET, N/A, JACKSONVILLE, FL 32209 |
| Name | Role | Address |
|---|---|---|
| MILLER, MARSHA P | Authorized Member | 1583 W. 18TH STREET, JACKSONVILLE, FL 32209 |
| WALKER, MARQUITA L | Authorized Member | 1583 W. 18TH STREET, JACKSONVILLE, FL 32209 |
| BYRD, MONICA L | Authorized Member | 1583 W. 18TH STREET, JACKSONVILLE, FL 32209 |
| THOMAS, SHANIAH S | Authorized Member | 1583 W 18TH STREET, JACKSONVILLE, FL 32209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2018-03-21 | ULTIMATE HEALTHCARE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-03-12 |
| LC Amendment and Name Change | 2018-03-21 |
| Florida Limited Liability | 2018-01-16 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
