| Entity Name: | PATRICIA GOVAN HOMEMAKER AND COMPANION SERVICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Jul 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L18000164316 |
| FEI/EIN Number | 83-1165488 |
| Address: | 882 E TIMBERLAND TRAIL, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 882 E Timberland Trail, Altamonte Springs, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760003016 | 2020-04-28 | 2020-04-28 | 882 E TIMBERLAND TRL, ALTAMONTE SPRINGS, FL, 327141288, US | 882 E TIMBERLAND TRL, ALTAMONTE SPRINGS, FL, 327141288, US | |||||||||||||||||||
|
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| Phone | +1 407-953-4287 |
Authorized person
| Name | MISS PATRICIA GOVAN |
| Role | ADMINISTRATOR |
| Phone | 4079534287 |
Taxonomy
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101690400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOVAN, PATRICIA | Agent | 882 E Timberland Trail, Altamonte Springs, FL 32714 |
| Name | Role | Address |
|---|---|---|
| GOVAN, PATRICIA | Manager | 882 E Timberland Trail, Altamonte Springs, FL 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-07 | 882 E TIMBERLAND TRAIL, ALTAMONTE SPRINGS, FL 32714 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-07 | 882 E TIMBERLAND TRAIL, ALTAMONTE SPRINGS, FL 32714 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-07 | 882 E Timberland Trail, Altamonte Springs, FL 32714 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-09-19 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-28 |
| Florida Limited Liability | 2018-07-06 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
