| Entity Name: | SENIORS PARADISE HOMECARE AGENCY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Sep 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Mar 2020 (5 years ago) |
| Document Number: | L19000234998 |
| FEI/EIN Number | 84-4585768 |
| Address: | 12373 Hagan Creek dr, JACKSONVILLE, FL 32218 |
| Mail Address: | 12373 Hagan Creek dr, JACKSONVILLE, FL 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043826951 | 2020-09-17 | 2024-03-13 | 12373 HAGAN CREEK DR, JACKSONVILLE, FL, 322188319, US | 12373 HAGAN CREEK DR, JACKSONVILLE, FL, 322188319, US | |||||||||||||||||||||||
|
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| Phone | +1 904-704-3901 |
Authorized person
| Name | DIONNE SAMAROO |
| Role | OWNER |
| Phone | 9047043901 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108011000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAMAROO, DIONNE | Agent | 12373 Hagan Creek dr, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| SAMAROO, DIONNE D | Manager | 12373 Hagan Creek dr, JACKSONVILLE, FL 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-03-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-09 | SAMAROO, DIONNE | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-23 | 12373 Hagan Creek dr, JACKSONVILLE, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-23 | 12373 Hagan Creek dr, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-23 | 12373 Hagan Creek dr, JACKSONVILLE, FL 32218 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-02-08 |
| LC Amendment | 2020-03-09 |
| ANNUAL REPORT | 2020-01-23 |
| Florida Limited Liability | 2019-09-17 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
