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FIVE STAR QUALITY HOMECARE LLC

FIVE STAR QUALITY HOMECARE LLC - Florida Company Profile

Company Details

Entity Name:	FIVE STAR QUALITY HOMECARE LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co. FIVE STAR QUALITY HOMECARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status:	Active The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.
Date Filed:	09 Jul 2018 (7 years ago)
Last Event:	LC AMENDMENT
Event Date Filed:	30 Jul 2018 (7 years ago)
Document Number:	L18000164899
FEI/EIN Number	83-1165046 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	8340 MERCHANTS GATE DR, JACKSONVILLE, FL, 32222, US
Mail Address:	3110 wandering oaks dr, Orange park, FL, 32065, US
ZIP code:	32222
County:	Duval
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
JOHNSON KATRINA M	Chief Executive Officer	3110 wandering oaks dr, Orange park, FL, 32065
SMITH KEITH D	Vice President	4221 VICTORIA LAKES DR WEST, JACKSONVILLE, FL, 32226
JOHNSON KATRINA M	Agent	3110 wandering oaks dr, Orange park, FL, 32065

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2023-04-15	8340 MERCHANTS GATE DR, JACKSONVILLE, FL 32222	-
REGISTERED AGENT ADDRESS CHANGED	2023-04-15	3110 wandering oaks dr, Orange park, FL 32065	-
CHANGE OF MAILING ADDRESS	2022-05-01	8340 MERCHANTS GATE DR, JACKSONVILLE, FL 32222	-
LC AMENDMENT	2018-07-30	-	-

Documents

Name	Date
ANNUAL REPORT	2024-04-28
ANNUAL REPORT	2023-04-15
ANNUAL REPORT	2022-05-01
ANNUAL REPORT	2021-04-09
ANNUAL REPORT	2020-06-10
ANNUAL REPORT	2019-04-18
LC Amendment	2018-07-30
Florida Limited Liability	2018-07-09

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

4096258803

2021-04-15

0491

PPP

9947 Melrose Creek Dr, Jacksonville, FL, 32222-4113

Loan Status Date	2022-01-15
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	6912
Loan Approval Amount (current)	6912
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	93956
Servicing Lender Name	Navy FCU
Servicing Lender Address	820 Follin Ln, VIENNA, VA, 22180-4907
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Jacksonville, DUVAL, FL, 32222-4113
Project Congressional District	FL-04
Number of Employees	1
NAICS code	624120
Borrower Race	Unanswered
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Single Member LLC
Originating Lender ID	93956
Originating Lender Name	Navy FCU
Originating Lender Address	VIENNA, VA
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	6950.02
Forgiveness Paid Date	2021-11-05

U.S. Small Business Administration Profile

Status

User ID

Name of Firm

Trade Name

UEI

Address

Active

P2511397

FIVE STAR QUALITY HOMECARE LLC

JNAHN4FEMGN9

10225 MAGNOLIA RIDGE DR, JACKSONVILLE, FL, 32210-4991

Capabilities Statement Link	-
Phone Number	904-923-3505
Fax Number	-
E-mail Address	FIVESTARQUALITYHOMECARE@YAHOO.COM
WWW Page	-
E-Commerce Website	-
Contact Person	KATRINA JOHNSON
County Code (3 digit)	031
Congressional District	04
Metropolitan Statistical Area	3600
CAGE Code	8QVP7
Year Established	2018
Accepts Government Credit Card	No
Legal Structure	LLC
Ownership and Self-Certifications	Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Economically Disadvantaged Women-Owned Small Business, Women-Owned Small Business, Woman Owned
Business Development Servicing Office	NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
Capabilities Narrative	(none given)
Special Equipment/Materials	(none given)
Business Type Percentages	(none given)
Keywords	(none given)
Quality Assurance Standards	(none given)
Electronic Data Interchange capable	-

SBA Federal Certifications

HUBZone Certified	No
Women Owned Certified	No
Women Owned Pending	No
Economically Disadvantaged Women Owned Certified	No
Economically Disadvantaged Women Owned Pending	No
Veteran-Owned Small Business Certified	No
Veteran-Owned Small Business Joint Venture	No
Service-Disabled Veteran-Owned Small Business Certified	No
Service-Disabled Veteran-Owned Small Business Joint Venture	No

Bonding Levels

Description	Construction Bonding Level (per contract)
Level	(none given)

Description	Construction Bonding Level (aggregate)
Level	(none given)

Description	Service Bonding Level (per contract)
Level	(none given)

Description	Service Bonding Level (aggregate)
Level	(none given)

NAICS Codes with Size Determinations by NAICS

Primary	Yes
Code	561720
NAICS Code's Description	Janitorial Services
Small	Yes

Code	488490
NAICS Code's Description	Other Support Activities for Road Transportation
Small	Yes

Code	621498
NAICS Code's Description	All Other Outpatient Care Centers
Small	Yes

Code	621610
NAICS Code's Description	Home Health Care Services
Small	Yes

Code	622110
NAICS Code's Description	General Medical and Surgical Hospitals
Small	Yes

Code	623110
NAICS Code's Description	Nursing Care Facilities (Skilled Nursing Facilities)
Small	Yes

Code	624120
NAICS Code's Description	Services for the Elderly and Persons with Disabilities
Small	Yes

Code	624410
NAICS Code's Description	Child Care Services
Small	Yes

Code	812199
NAICS Code's Description	Other Personal Care Services
Small	Yes

Export Profile (Trade Mission Online)

Exporter	Firm hasn't answered this question yet
Export Business Activities	(none given)
Exporting to	(none given)
Desired Export Business Relationships	(none given)
Description of Export Objective(s)	(none given)

Date of last update: 03 Mar 2025

Sources: Florida Department of State