| Entity Name: | SANERGY ADMINISTRATIVE AND HOME CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2019 (6 years ago) |
| Document Number: | L19000127676 |
| FEI/EIN Number | 84-1927547 |
| Address: | 2102 East Edgewood Drive, LAKELAND, FL, 33803, US |
| Mail Address: | 722 SARATOGA AVE., LAKELAND, FL, 33815, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861089724 | 2020-12-28 | 2021-01-25 | 722 SARATOGA AVE, LAKELAND, FL, 338151279, US | 722 SARATOGA AVE, LAKELAND, FL, 338151279, US | |||||||||||||||||||
|
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| Phone | +1 863-934-2926 |
Authorized person
| Name | MRS. SANQUINITTA JOHNSON |
| Role | DIRECTOR |
| Phone | 8639342926 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108545100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCONIERS JOHNSON SANQUINITTA | Agent | 722 SARATOGA AVE., LAKELAND, FL, 33815 |
| Name | Role | Address |
|---|---|---|
| SCONIERS JOHNSON SANQUINITTA | Manager | 722 SARATOGA AVE., LAKELAND, FL, 33815 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-25 | 2102 East Edgewood Drive, LAKELAND, FL 33803 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-07 | SCONIERS JOHNSON, SANQUINITTA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-03-26 |
| Florida Limited Liability | 2019-05-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
