Entity Name: | CONCIERGE CARE OF AMELIA ISLAND, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 25 Nov 2019 (5 years ago) |
Document Number: | L19000291647 |
FEI/EIN Number | 84-3790107 |
Mail Address: | 6817 SOUTHPOINT PKWY, JACKSONVILLE, FL, 32216, US |
Address: | 649 AMELIA ISLAND PARKWAY, SUITE CC, FERNADINA BEACH, FL, 32034, US |
ZIP code: | 32034 |
County: | Nassau |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801432828 | 2019-11-25 | 2022-09-08 | 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL, 322168201, US | 649 AMELIA ISLAND PKWY STE CC, FERNANDINA BEACH, FL, 320349140, US | |||||||||||||||||||
|
Phone | +1 904-534-1655 |
Authorized person
Name | NANCY RALSTON |
Role | MANAGING PARTNER |
Phone | 9045341655 |
Taxonomy
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | SENIOR CARE REFERRAL SERVICES |
Number | 00000 |
State | FL |
Name | Role | Address |
---|---|---|
RALSTON NANCY | Agent | 6817 Southpoint Pkwy STE 1004, Jacksonville, FL, 32216 |
Name | Role | Address |
---|---|---|
RALSTON NANCY | Member | 6817 Southpoint Pkwy STE 1004, Jacksonville, FL, 32216 |
STIFTER DAVID | Member | 6817 Southpoint Pkwy STE 1004, Jacksonville, FL, 32216 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000132009 | CONCIERGE CARE | ACTIVE | 2019-12-13 | 2029-12-31 | No data | 6817 SOUTHPOINT PARKWAY, SUITE 1004, JACKSONVILLE, FL, 32216 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2022-01-07 | 6817 Southpoint Pkwy STE 1004, Jacksonville, FL 32216 | No data |
CHANGE OF MAILING ADDRESS | 2021-10-22 | 649 AMELIA ISLAND PARKWAY, SUITE CC, FERNADINA BEACH, FL 32034 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-08 |
ANNUAL REPORT | 2024-01-03 |
ANNUAL REPORT | 2023-02-09 |
ANNUAL REPORT | 2022-01-07 |
ANNUAL REPORT | 2021-01-12 |
ANNUAL REPORT | 2020-01-06 |
Florida Limited Liability | 2019-11-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State