| Entity Name: | E & N COMPANION CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Aug 2018 (6 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000196423 |
| FEI/EIN Number | 83-1608387 |
| Address: | 130 SW Monterey Rd, Stuart, FL, 34994, US |
| Mail Address: | 130 SW Monterey Rd, Stuart, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639630726 | 2019-03-29 | 2021-08-23 | 130 SW MONTEREY RD, STUART, FL, 349944610, US | 130 SW MONTEREY RD, STUART, FL, 349944610, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 772-287-5432 |
| Fax | 7724977012 |
Authorized person
| Name | DANIEL BENTANCUR |
| Role | ADMINISTRATOR |
| Phone | 7722875432 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102557600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENTANCUR DANIEL | Agent | 130 SW Monterey Rd, Stuart, FL, 34994 |
| Name | Role |
|---|---|
| ROSSEL INVESTMENTS INC | Authorized Member |
| Name | Role | Address |
|---|---|---|
| BENTANCUR DANIEL | Manager | 1961 SW AUTUMNWOOD WAY, STUART, FL, 34994 |
| BENTANCUR LORI | Manager | 1961 SW AUTUMNWOOD WAY, STUART, FL, 34994 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000102425 | CHAMPION HOME HEALTH CARE | EXPIRED | 2018-09-17 | 2023-12-31 | No data | 500 NW DIXIE HWY, SUITE 104, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-20 | 130 SW Monterey Rd, Stuart, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-20 | 130 SW Monterey Rd, Stuart, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-20 | 130 SW Monterey Rd, Stuart, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-09-20 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-08-07 |
| Florida Limited Liability | 2018-08-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
