| Entity Name: | THE ICAN MULTI SERVICE GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2020 (5 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 05 Feb 2020 (5 years ago) |
| Document Number: | L20000031305 |
| FEI/EIN Number | 84-4593615 |
| Address: | 3350 E ATLANTIC BLVD, #209, POMPANO BEACH, FL, 33062, US |
| Mail Address: | 1950 NE 6TH AVE, 2324, POMPANO BEACH, FL, 33061, US |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003494311 | 2021-03-30 | 2022-05-11 | 1950 NE 6TH ST UNIT 2324, POMPANO BEACH, FL, 330612614, US | 3350 E ATLANTIC BLVD STE 209, POMPANO BEACH, FL, 330625743, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-951-7899 |
| Phone | +1 954-258-3714 |
Authorized person
| Name | LATRICA M CHANCE |
| Role | OWNER |
| Phone | 9542583714 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110775100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHANCE LATRICA M | Agent | 1950 NE 6TH AVE, POMPANO BEACH, FL, 33061 |
| Name | Role | Address |
|---|---|---|
| CHANCE LATRICA M | Manager | 1950 NE 6TH AVE SUITE 2324, POMPANO BEACH, FL, 33061 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000152524 | ICAN STAFFING SOLUTIONS | ACTIVE | 2021-11-15 | 2026-12-31 | No data | 1950 NE 6TH STREET, SUIT#2324, POMPANO BEACH, FL, 33061 |
| G21000101915 | ICAN WORK FROM HOME AGENCY | ACTIVE | 2021-08-04 | 2026-12-31 | No data | 1950 NE 6TH STREET, SUITE #2324, POMPANO BEACH, FL, 33061 |
| G21000086595 | ICAN HOMECARE AGENCY | ACTIVE | 2021-06-30 | 2026-12-31 | No data | 1950 NE 6TH #2324, POMPANO BEACH, FL, 33061 |
| G21000042799 | ICAN HEALTHCARE AGENCY | ACTIVE | 2021-03-29 | 2026-12-31 | No data | 1950 NE 6TH STREET, SUITE #2324, POMPANO BEACH, FL, 33061 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 3350 E ATLANTIC BLVD, #209, POMPANO BEACH, FL 33062 | No data |
| LC NAME CHANGE | 2020-02-05 | THE ICAN MULTI SERVICE GROUP LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-22 |
| LC Name Change | 2020-02-05 |
| Florida Limited Liability | 2020-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
