| Entity Name: | ROYAL HEALTH CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jun 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Sep 2021 (3 years ago) |
| Document Number: | L19000153794 |
| FEI/EIN Number | 84-2364859 |
| Address: | 713 W New York Ave, DELAND, FL, 32720, US |
| Mail Address: | 713 W New York Ave, DELAND, FL, 32720, US |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902554355 | 2022-03-15 | 2023-11-03 | 230 E. NEW YORK AVE, DELAND, FL, 327245522, US | 230 E. NEW YORK AVENUE, DELAND, FL, 327245522, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-624-6933 |
| Fax | 3867741203 |
| Phone | +1 386-456-3224 |
Authorized person
| Name | MS. SUSAN KIMERIA |
| Role | ADMINISTRATOR |
| Phone | 4075358148 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116025500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 880711 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KIMERIA SUSAN | Agent | 2410 FOUNTAIN ROAD, DELTONA, FL, 32738 |
| Name | Role | Address |
|---|---|---|
| KIMERIA SUSAN | President | 2410 FOUNTAIN ROAD, DELTONA, FL, 32738 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-13 | 713 W New York Ave, Suite 202, DELAND, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-13 | 713 W New York Ave, Suite 202, DELAND, FL 32720 | No data |
| LC AMENDMENT | 2021-09-27 | No data | No data |
| LC AMENDMENT | 2019-10-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-31 |
| LC Amendment | 2021-09-27 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-07-20 |
| LC Amendment | 2019-10-07 |
| Florida Limited Liability | 2019-06-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
