| Entity Name: | COVENANT HOME HEALTH CARE 4, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 May 2019 (6 years ago) |
| Document Number: | L19000121369 |
| FEI/EIN Number | 84-1866523 |
| Mail Address: | 5101 N 12th Ave, Ste B, PENSACOLA, FL 32504 |
| Address: | 8206 PHILIPS HWY, SUITE 8, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902458722 | 2019-07-11 | 2021-10-10 | 5041 N 12TH AVE, PENSACOLA, FL, 325048916, US | 3636 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164250, US | |||||||||||||
|
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| Phone | +1 850-433-2155 |
Authorized person
| Name | ROLAND CLENEAY |
| Role | CFO |
| Phone | 8504332155 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JONES, ROBERT L, III, ESQ | Agent | 501 COMMENDENCIA STREET, PENSACOLA, FL 32502 |
| Name | Role | Address |
|---|---|---|
| COVENANT HEALTH AND COMMUNITY SERVICES, IN | Manager | 5101 N 12TH AVE, STE B, PENSACOLA, FL 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-16 | 8206 PHILIPS HWY, SUITE 8, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-25 | 8206 PHILIPS HWY, SUITE 8, JACKSONVILLE, FL 32256 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-20 | JONES, ROBERT L, III, ESQ | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-03-20 |
| Florida Limited Liability | 2019-05-10 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
