| Entity Name: | CONVENIENT CARE AND ASSESSMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
CONVENIENT CARE AND ASSESSMENT 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Aug 2018 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L18000198597 |
| FEI/EIN Number |
83-3001258
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10 woodlands circle, Ormond Beach, FL 32174 |
| Mail Address: | 10 woodlands circle, Ormond Beach, FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609430388 | 2019-04-28 | 2019-04-28 | 2407 S PENINSULA DR, DAYTONA BEACH, FL, 321185412, US | 2407 S PENINSULA DR, DAYTONA BEACH, FL, 321185412, US | |||||||||||||||||||
|
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| Phone | +1 386-212-1222 |
Authorized person
| Name | DR. DESIREE IHILANI DEGINDER |
| Role | PROVIDER/CEO |
| Phone | 3862121222 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | JN947 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEGINDER, DESIREE I | Agent | 10 woodlands circle, Ormond Beach, FL 32174 |
| DEGINDER, DESIREE I | Chief Executive Officer | 10 woodlands circle, Ormond Beach, FL 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-15 | 10 woodlands circle, Ormond Beach, FL 32174 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-15 | 10 woodlands circle, Ormond Beach, FL 32174 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-15 | 10 woodlands circle, Ormond Beach, FL 32174 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-08-20 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
