| Entity Name: | J 4 DYNASTY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Sep 2019 (5 years ago) |
| Document Number: | L19000235823 |
| FEI/EIN Number | 84-3191166 |
| Address: | 10150 Highland Manor Drive, Suite 200, Tampa, FL 33610 |
| Mail Address: | 10150 Highland Manor Drive, Suite 200, tampa, FL 33610 |
| ZIP code: | 33610 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760053441 | 2021-07-05 | 2021-07-05 | 10150 HIGHLAND MANOR DR STE 200-106, TAMPA, FL, 336109713, US | 10150 HIGHLAND MANOR DR STE 200-106, TAMPA, FL, 336109713, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-606-5010 |
| Fax | 8772288577 |
Authorized person
| Name | LATORIA CLARK-JACKSON |
| Role | OWNER/MGR |
| Phone | 8136065010 |
Taxonomy
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 372500000X - Chore Provider |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JACKSON, LATORIA | Agent | 12802 KINGS LAKE DRIVE, GIBSONTON, FL 33534 |
| Name | Role | Address |
|---|---|---|
| JACKSON, LATORIA | Manager | 12802 KINGS LAKE DRIVE, GIBSONTON, FL 33534 |
| JACKSON, TOBY | Manager | 12802 KINGS LAKE DRIVE, GIBSONTON, FL 33534 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000098419 | SAVISA CARE SERVICES GROUP | ACTIVE | 2023-08-23 | 2028-12-31 | No data | 10150 HIGHLAND MANOR DRIVE SUITE 200, TAMPA, FL, 33610 |
| G21000090981 | SAVISA CARE SERVICES GROUP DBA J 4 DYNASTY,LLC | ACTIVE | 2021-07-12 | 2026-12-31 | No data | 101050 HIGHLAND MANOR DRIVE, SUITE 200-106, TAMPA, FL, 33610 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-23 | 10150 Highland Manor Drive, Suite 200, Tampa, FL 33610 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-23 | 10150 Highland Manor Drive, Suite 200, Tampa, FL 33610 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-04-07 |
| Florida Limited Liability | 2019-09-18 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
