| Entity Name: | ADVENT PRESTIGE CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Feb 2020 (5 years ago) |
| Document Number: | L20000048085 |
| FEI/EIN Number | 86-3569741 |
| Address: | 130 S Indian River Drive, Fort Pierce, FL, 34950, US |
| Mail Address: | 674 SW MONTANA TER, PORT SAINT LUCIE, FL, 34953 |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235887621 | 2022-03-15 | 2024-03-27 | 674 SW MONTANA TER, PORT SAINT LUCIE, FL, 349532072, US | 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL, 349504353, US | |||||||||||||||||||||
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| Phone | +1 772-773-0229 |
Authorized person
| Name | SHIRLEY BARCLAY |
| Role | CLINICAL DIRECTOR |
| Phone | 7727730229 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PALMER SHERYL | Agent | 674 SW MONTANA TER, PORT SAINT LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| PALMER SHERYL | Manager | 674 SW MONTANA TER, PORT SAINT LUCIE, FL, 34953 |
| Palmer Omar | Manager | 674 SW Montana Terrace, PORT SAINT LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| Barclay Shirley | Auth | 674 SW MONTANA TER, PORT SAINT LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-26 | 130 S Indian River Drive, Suite 202, Fort Pierce, FL 34950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-26 |
| AMENDED ANNUAL REPORT | 2022-12-08 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-02-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
