| Entity Name: | COMPASSIONATE CONNECTIONS HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Mar 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Oct 2021 (3 years ago) |
| Document Number: | L18000075014 |
| FEI/EIN Number | 82-4946659 |
| Address: | 3103 Eudora Road, Eustis, FL 32726 |
| Mail Address: | 3103 Eudora Road, Eustis, FL 32726 |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881165504 | 2018-12-06 | 2024-01-01 | 32 E MAGNOLIA AVE UNIT A, EUSTIS, FL, 327263482, US | 32 E MAGNOLIA AVE UNIT A, EUSTIS, FL, 327263482, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 866-511-8911 |
| Fax | 4075508031 |
Authorized person
| Name | MRS. TASIA LAVONNE DRAYTON |
| Role | OWNER |
| Phone | 8665118911 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 30212393 |
| State | FL |
| Issuer | MEDICAID |
| Number | 104222600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Drayton, TASIA L | Agent | 3103 Eudora Road, Eustis, FL 32726 |
| Name | Role | Address |
|---|---|---|
| Drayton, Tasia L | Manager | 3103 Eudora Road, Eustis, FL 32726 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000065877 | COMPASSIONATE MEDICAL STAFFING | ACTIVE | 2022-05-27 | 2027-12-31 | No data | 703 EAST MAGNOLIA AVE, EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-18 | 3103 Eudora Road, Eustis, FL 32726 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-18 | 3103 Eudora Road, Eustis, FL 32726 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-18 | 3103 Eudora Road, Eustis, FL 32726 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-18 | Drayton, TASIA L | No data |
| REINSTATEMENT | 2021-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-05-01 |
| REINSTATEMENT | 2021-10-05 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-03-22 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
