| Entity Name: | PENIEL HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Sep 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Jan 2022 (3 years ago) |
| Document Number: | L19000232823 |
| FEI/EIN Number | 84-3165677 |
| Address: | 5551 NW 125TH TERRACE, CORAL SPRINGS, FL 33076 |
| Mail Address: | 5551 NW 125TH TERRACE, CORAL SPRINGS, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871136416 | 2019-10-28 | 2019-10-28 | 5551 NW 125TH TER, CORAL SPRINGS, FL, 330763432, US | 5551 NW 125TH TER, CORAL SPRINGS, FL, 330763432, US | |||||||||||||||||||||||||
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| Phone | +1 866-473-6435 |
Authorized person
| Name | MS. SHERLEY MARC |
| Role | COE/ADMINISTRATOR |
| Phone | 7869851209 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Taxonomy Code | 347E00000X - Transportation Broker |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sherley, Marc | Agent | 5551 NW 125TH TERRACE, CORAL SPRINGS, FL 33076 |
| Name | Role | Address |
|---|---|---|
| SHERLEY, MARC | Authorized Member | 5551 NW 125TH TERRACE, CORAL SPRINGS, FL 33076 |
| Name | Role | Address |
|---|---|---|
| Jean Baptiste , Edwith | Manager | 5551 NW 125TH TERRACE, CORAL SPRINGS, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-06 | Sherley, Marc | No data |
| REINSTATEMENT | 2022-01-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-03-06 |
| AMENDED ANNUAL REPORT | 2022-06-07 |
| REINSTATEMENT | 2022-01-28 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-09-16 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
