| Entity Name: | EVERGREEN PRIVATE CARE OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Sep 2018 (6 years ago) |
| Document Number: | L18000216636 |
| FEI/EIN Number | 36-4912252 |
| Address: | 7301 SW GAINES AVENUE, STUART, FL, 34997, US |
| Mail Address: | P.O. BOX 1187, HOBE SOUND, FL, 33475, US |
| ZIP code: | 34997 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669937942 | 2019-01-31 | 2019-01-31 | PO BOX 1187, HOBE SOUND, FL, 334751187, US | 7301 SW GAINES AVE, STUART, FL, 349977332, US | |||||||||||||
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| Phone | +1 281-320-1856 |
Authorized person
| Name | KEREN WHEELER |
| Role | CEO |
| Phone | 7728886962 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EVERGREEN PRIVATE CARE 401(K) | 2023 | 270232091 | 2024-09-26 | EVERGREEN PRIVATE CARE OF FLORIDA, LLC | 30 | |||||||||||||
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| EVERGREEN PRIVATE CARE 401(K) | 2022 | 270232091 | 2023-06-21 | EVERGREEN PRIVATE CARE OF FLORIDA, LLC | 19 | |||||||||||||
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| EVERGREEN PRIVATE CARE 401(K) | 2021 | 270232091 | 2022-10-17 | EVERGREEN PRIVATE CARE OF FLORIDA, LLC | 29 | |||||||||||||
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| EVERGREEN PRIVATE CARE 401(K) | 2020 | 270232091 | 2021-08-23 | EVERGREEN PRIVATE CARE OF FLORIDA, LLC | 35 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Crary Buchanan PA | Agent | 759 SW FEDERAL HIGHWAY, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| WHEELER KEREN B | Manager | P.O. BOX 1187, HOBE SOUND, FL, 33475 |
| Snyder William D | Manager | 7301 SW GAINES AVENUE, STUART, FL, 34997 |
| Name | Role | Address |
|---|---|---|
| Tofte Jon W | Chief Financial Officer | 1102 W Stan Mar Estates Dr, Brazil, IN, 47834 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000105226 | EVERGREEN PRIVATE CARE | ACTIVE | 2018-09-25 | 2028-12-31 | No data | 7301 SW GAINES AVE, STUART, FL, 34997 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-29 | Crary Buchanan PA | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-04 | 7301 SW GAINES AVENUE, STUART, FL 34997 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-02-04 |
| Florida Limited Liability | 2018-09-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
