| Entity Name: | JBS ADULT FAMILY CARE HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 May 2018 (7 years ago) |
| Document Number: | L18000118787 |
| FEI/EIN Number | 83-0546942 |
| Address: | 2718 SHENANDOAH DRIVE SOUTH, ORANGE PARK, FL, 32073, US |
| Mail Address: | 2718 SHENANDOAH DRIVE SOUTH, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194261248 | 2017-01-13 | 2017-03-14 | 2718 SHENANDOAH DR S, ORANGE PARK, FL, 320736628, US | 2718 SHENANDOAH DR S, ORANGE PARK, FL, 320736628, US | |||||||||||||||||
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| Phone | +1 904-602-5389 |
Authorized person
| Name | BRENETH GUTING |
| Role | OWNER/ADMINISTRATOR |
| Phone | 9046025389 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 6906875 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUTING BRENETH | Agent | 2718 SHENANDOAH DRIVE SOUTH, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| GUTING BRENETH | Authorized Member | 2718 SHENANDOAH DRIVE SOUTH, ORANGE PARK, FL, 32073 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-05-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
