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COASTAL COMMUNITY CARE LLC - Florida Company Profile

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Company Details

Entity Name: COASTAL COMMUNITY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Oct 2019 (6 years ago)
Document Number: L19000257110
FEI/EIN Number 84-3537191
Address: 731 Airport Rd, PANAMA CITY, FL, 32405, US
Mail Address: 703 WILLIAMS AVE, PANAMA CITY, FL, 32401, US
ZIP code: 32405
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Nance Riley Cassaundra L Manager 813 E. 10th Ct., Panama City, FL, 32401
Nance Riley Cassaundra L Agent 813 E. 10th Ct., PANAMA CITY, FL, 32401

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
850-852-1059
Contact Person:
CASSAUNDRA NANCE
Ownership and Self-Certifications:
Black American, Other Minority Owned, Women-Owned Small Business, Woman Owned
User ID:
P2690206
Trade Name:
COASTAL CARES

Unique Entity ID

Unique Entity ID:
S81TMCJLQBZ5
CAGE Code:
990G3
UEI Expiration Date:
2026-01-08

Business Information

Doing Business As:
COASTAL CARES
Activation Date:
2025-01-10
Initial Registration Date:
2022-01-31

National Provider Identifier

NPI Number:
1336772292
Certification Date:
2020-06-11

Authorized Person:

Name:
CASSAUNDRA NANCE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Fax:
8508521059

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000116291 COASTAL CARES ACTIVE 2020-09-08 2025-12-31 - 731 AIRPORT ROAD SUITE G, PANAMA CITY, FL, 32405

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-05-28 731 Airport Rd, suite g, PANAMA CITY, FL 32405 -
REGISTERED AGENT NAME CHANGED 2020-01-13 Nance, Cassaundra L -
REGISTERED AGENT ADDRESS CHANGED 2020-01-13 813 E. 10th Ct., PANAMA CITY, FL 32401 -

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-01-13
Florida Limited Liability 2019-10-14

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Date of last update: 01 Aug 2025

Sources: Florida Department of State