| Entity Name: | RELY ON US HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 Aug 2018 (6 years ago) |
| Date of dissolution: | 30 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2023 (2 years ago) |
| Document Number: | L18000204103 |
| FEI/EIN Number | 83-1414814 |
| Address: | 10423 Orchid Mist Court, RIVERVIEW, FL 33578 |
| Mail Address: | P.O. Box 1793, RIVERVIEW, FL 33568 |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003384447 | 2018-11-04 | 2020-06-28 | PO BOX 1793, RIVERVIEW, FL, 335681793, US | 10103 SHERWOOD LN APT 67, RIVERVIEW, FL, 335783640, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-735-6847 |
| Fax | 8007079201 |
Authorized person
| Name | MS. NATALIE ANN WILLIAMS |
| Role | OWNER/ADMINISTRATOR |
| Phone | 8137356847 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102697500 |
| State | FL |
| Issuer | AHCA LIC # |
| Number | 235676 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, NATALIE A | Agent | 10423 Orchid Mist Court, RIVERVIEW, FL 33578 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, NATALIE A | Manager | 10423 Orchid Mist Court, RIVERVIEW, FL 33578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-30 | 10423 Orchid Mist Court, RIVERVIEW, FL 33578 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 10423 Orchid Mist Court, RIVERVIEW, FL 33578 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-24 | 10423 Orchid Mist Court, RIVERVIEW, FL 33578 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-03-24 |
| Florida Limited Liability | 2018-08-27 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
