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ANSLEY HEALTH LLC - Florida Company Profile

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Company Details

Entity Name: ANSLEY HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 May 2018 (7 years ago)
Document Number: L18000110767
FEI/EIN Number 82-5486880
Address: 112 WEEPING WILLOW RD, EAGLE LAKE, 33839, UN
Mail Address: 1502 6th Ct NE, Winter Haven, FL, 33881, UN
ZIP code: 33839
City: Eagle Lake
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCCULLOUGH JAQUIS Auth 1502 6th Ct NE, Winter Haven, Fl, 33881
MCCULLOUGH Charlotte Agent 112 WEEPING WILLOW RD, Eagle lake, FL, 33839
McCullough Charlotte President 112 WEEPING WILLOW RD, EAGLE LAKE, Fl, 33839

Unique Entity ID

CAGE Code:
883Q3
UEI Expiration Date:
2019-12-29

Business Information

Activation Date:
2019-01-07
Initial Registration Date:
2018-12-29

Commercial and government entity program

CAGE number:
883Q3
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-01-12
CAGE Expiration:
2024-01-11

Contact Information

POC:
JAQUIS MCCULLOUGH

National Provider Identifier

NPI Number:
1952891244

Authorized Person:

Name:
JAQUIS MCCULLOUGH
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-28 112 WEEPING WILLOW RD, EAGLE LAKE 33839 UN -
REGISTERED AGENT NAME CHANGED 2023-04-28 MCCULLOUGH, Charlotte -
REGISTERED AGENT ADDRESS CHANGED 2023-04-28 112 WEEPING WILLOW RD, Eagle lake, FL 33839 -
CHANGE OF MAILING ADDRESS 2020-06-30 112 WEEPING WILLOW RD, EAGLE LAKE 33839 UN -

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
Florida Limited Liability 2018-05-02

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State