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ASSURANURSE, LLC

Company Details

Entity Name: ASSURANURSE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 11 Apr 2019 (6 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L19000100887
FEI/EIN Number 83-4475322
Address: 5030 78TH AVE NORTH SUITE 10, PINELLAS PARK 33781 UN
Mail Address: 5030 78TH AVE NORTH SUITE 10, PINELLAS PARK 33781 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154950038 2020-04-03 2020-04-07 5030 78TH AVE N STE 11, PINELLAS PARK, FL, 337812406, US 5030 78TH AVE N STE 11, PINELLAS PARK, FL, 337812406, US

Contacts

Phone +1 727-546-4861
Fax 8007138330

Authorized person

Name ISAAC GOMEZ REXACH
Role ADMINISTRATOR
Phone 7275464861

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary No
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Other Provider Identifiers

Issuer AHCA LICENSED NURSE REGISTRY
Number 30212079
State FL

Agent

Name Role Address
PRIBBLE, DAR-LYN Agent 5030 78TH AVE NORTH SUITE 10, PINELLAS PARK, FL 33781

Authorized Member

Name Role Address
PRIBBLE, DAR-LYN Authorized Member 5030 78TH AVE NORTH, SUITE 10 PINELLAS PARK, FL 33781
CAIRNS, MICHELLE L Authorized Member 5030 78TH AVE NORTH, SUITE 10 PINELLAS PARK, FL 33781
GOMEZ REXACH, ISAAC Authorized Member 5030 78TH AVE NORTH, SUITE 10 PINELLAS PARK, FL 33781

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000052495 ASSURA CASE MANAGEMENT ACTIVE 2020-05-12 2025-12-31 No data 5030 78TH AVE N, SUITE 11, PINELLAS PARK, FL, 33781

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-03-25 5030 78TH AVE NORTH SUITE 10, PINELLAS PARK 33781 UN No data
CHANGE OF MAILING ADDRESS 2021-03-25 5030 78TH AVE NORTH SUITE 10, PINELLAS PARK 33781 UN No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-25 5030 78TH AVE NORTH SUITE 10, PINELLAS PARK, FL 33781 No data

Documents

Name Date
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-03-17
Florida Limited Liability 2019-04-11

Date of last update: 17 Jan 2025

Sources: Florida Department of State