| Entity Name: | ALL CARE COMPANIONSHIP & HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jan 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 11 Jul 2018 (7 years ago) |
| Document Number: | L18000013736 |
| FEI/EIN Number | 82-4082970 |
| Address: | 11128 LAKEWOOD POINTE DR. APT 104, SEFFNER, FL, 33584, US |
| Mail Address: | PO BOX 3973, BRANDON, FL, 33509, US |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518440619 | 2018-09-13 | 2020-03-09 | PO BOX 3973, BRANDON, FL, 335093973, US | 11128 LAKEWOOD POINTE DR APT 104, SEFFNER, FL, 335844376, US | |||||||||||||||||||
|
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| Phone | +1 682-561-3973 |
Authorized person
| Name | KIEVES SHELBY |
| Role | ADMINISTRATOR/OWNER |
| Phone | 6825613973 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105399800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHELBY KIEVES L | Agent | 11128 LAKEWOOD POINTE DR. APT 104, SEFFNER, FL, 33584 |
| Name | Role | Address |
|---|---|---|
| SHELBY MALCOM J | Authorized Member | 1311 16TH STREET SOUTH, ST. PETERSBURG, FL, 33705 |
| SHELBY KIEVES L | Authorized Member | 11128 LAKEWOOD POINTE DR APT 104, SEFFNER, FL, 33584 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2018-07-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-07-11 | SHELBY, KIEVES L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-07-11 | 11128 LAKEWOOD POINTE DR. APT 104, SEFFNER, FL 33584 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-26 | 11128 LAKEWOOD POINTE DR. APT 104, SEFFNER, FL 33584 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-26 | 11128 LAKEWOOD POINTE DR. APT 104, SEFFNER, FL 33584 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-09-25 |
| CORLCRACHG | 2018-07-11 |
| Florida Limited Liability | 2018-01-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
