| Entity Name: | HILLCREST URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L19000244529 |
| FEI/EIN Number | 271970908 |
| Address: | 1639 N. Volusia Ave, Ste. B, Orange City, FL, 32763, US |
| Mail Address: | 1639 N. Volusia Ave., Ste. B, Orange City, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386281665 | 2019-12-05 | 2020-08-04 | 1639 N VOLUSIA AVE STE B, ORANGE CITY, FL, 327633843, US | 1639 N VOLUSIA AVE STE B, ORANGE CITY, FL, 327633843, US | |||||||||||||||
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| Phone | +1 386-777-2273 |
| Fax | 3867740606 |
Authorized person
| Name | REBECA ROJAS |
| Role | PRACTICE MANAGER |
| Phone | 3867740016 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HILLCREST URGENT CARE 401(K) PLAN | 2023 | 843390508 | 2024-07-09 | HILLCREST URGENT CARE, LLC | 12 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-08 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 4074378871 |
| Plan sponsor’s address | 1590 STATE ROAD 15A, DELAND, FL, 32720 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 4074378871 |
| Plan sponsor’s address | 1590 STATE ROAD 15A, DELAND, FL, 32720 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-23 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HILL JOHN M | Agent | 1639 N. Volusia Ave., Ste. B, Orange City, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| HILL JOHN M | Manager | 2240 Hontoon Rd., DELAND, FL, 32720 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000120370 | ADVANCED EMURGENT CARE | ACTIVE | 2019-11-08 | 2029-12-31 | No data | 2240 HONTOON RD, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-21 | 1639 N. Volusia Ave, Ste. B, Orange City, FL 32763 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-21 | 1639 N. Volusia Ave, Ste. B, Orange City, FL 32763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-21 | 1639 N. Volusia Ave., Ste. B, Orange City, FL 32763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-05-06 |
| Florida Limited Liability | 2019-09-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
