| Entity Name: | ELITE HOME CARE OF JAX LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 Aug 2018 (6 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L18000204571 |
| FEI/EIN Number | 83-3612279 |
| Address: | 16334 DAWNWOOD CT, JACKSONVILLE, FL 32218 |
| Mail Address: | 16334 DAWNWOOD CT, JACKSONVILLE, FL 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104470749 | 2019-07-31 | 2021-01-02 | 16334 DAWNWOOD CT, JACKSONVILLE, FL, 322180107, US | 16334 DAWNWOOD CT, JACKSONVILLE, FL, 322180107, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-339-2611 |
Authorized person
| Name | SHAWNDREA THOMAS-GIBSON |
| Role | CEO/OWNER |
| Phone | 9043392611 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | No |
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| THOMAS, SHAWNDREA S | Agent | 16334 DAWNWOOD CT, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| THOMAS, SHAWNDREA | Chief Executive Officer | 16334 DAWNWOOD CT, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| THOMAS, SHAWNDREA | Authorized Representative | 16334 DAWNWOOD CT, JACKSONVILLE, FL 32218 |
| YAKEISHA, ELMORE | Authorized Representative | PO BOX 25, CALLAHAN, FL 32011 |
| LYNN, HENDON | Authorized Representative | 8076 MACTAVISH WAY W, JACKSONVILLE, FL 32244 |
| Name | Role | Address |
|---|---|---|
| THOMAS, SHAWNDREA | Manager | 16334 DAWNWOOD CT, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| YAKEISHA, ELMORE | Secretary | PO BOX 25, CALLAHAN, FL 32011 |
| Name | Role | Address |
|---|---|---|
| LYNN, HENDON | Chief Business Officer | 8076 MACTAVISH WAY W, JACKSONVILLE, FL 32244 |
| Name | Role | Address |
|---|---|---|
| LYNN, HENDON | Treasurer | 8076 MACTAVISH WAY W, JACKSONVILLE, FL 32244 |
| Name | Role | Address |
|---|---|---|
| ALICIA, ADDISON | Authorized Person | 3202 BROOKASHER DR., JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| ALICIA, ADDISON | Social Service Coordinator | 3202 BROOKASHER DR., JACKSONVILLE, FL 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-16 |
| Florida Limited Liability | 2018-08-27 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
