| Entity Name: | ANGELA BROOKS LOVING CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Mar 2019 (6 years ago) |
| Document Number: | L19000072020 |
| FEI/EIN Number | 83-4069742 |
| Address: | 186 Palafox Street, PENSACOLA, FL, 32502, US |
| Mail Address: | 1722 Paisleigh Drive, PENSACOLA, FL, 32534, US |
| ZIP code: | 32502 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831765353 | 2021-06-03 | 2023-10-11 | 1197 BROWNFIELD RD, PENSACOLA, FL, 325265040, US | 186 N PALAFOX ST, PENSACOLA, FL, 325024839, US | |||||||||||||||||||||||||
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| Phone | +1 850-341-7789 |
| Fax | 8507413445 |
Authorized person
| Name | MISS ANGELA D BROOKS |
| Role | OWNER OPERATOR |
| Phone | 8503417789 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107264300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROOKS ANGELA D | Agent | 1722 Paisleigh drive, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| BROOKS ANGELA D | Owner | 1722 Paisleigh Drive, PENSACOLA, FL, 32534 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-21 | 186 Palafox Street, PENSACOLA, FL 32502 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-21 | 1722 Paisleigh drive, PENSACOLA, FL 32534 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-05 | 186 Palafox Street, PENSACOLA, FL 32502 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-06-16 |
| Florida Limited Liability | 2019-03-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
