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