| Entity Name: | SILVER LININGS COMMUNITY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Apr 2019 (6 years ago) |
| Document Number: | L19000095286 |
| FEI/EIN Number | 83-4341528 |
| Address: | 752 BLANDING BLVD, Bldg. B, ORANGE PARK, FL, 32065, US |
| Mail Address: | P.O. BOX 65271, ORANGE PARK, FL, 32065, US |
| ZIP code: | 32065 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053874578 | 2019-04-11 | 2023-02-24 | PO BOX 65271, ORANGE PARK, FL, 320650005, US | 2105 PARK AVE STE 5, ORANGE PARK, FL, 320735557, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-778-5223 |
| Fax | 9046219042 |
Authorized person
| Name | MS. SILVER L ISOM |
| Role | OWNER |
| Phone | 9047785223 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 372500000X - Chore Provider |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103178600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISOM SILVER | Agent | 752 BLANDING BLVD, ORANGE PARK, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| ISOM SILVER | Manager | P.O. BOX 65271, ORANGE PARK, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 752 BLANDING BLVD, Bldg. B, Suite 103, ORANGE PARK, FL 32065 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 752 BLANDING BLVD, Bldg. B, Suite 103, ORANGE PARK, FL 32065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
