| Entity Name: | MIRRAH IMAGE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Mar 2020 (5 years ago) |
| Document Number: | L20000078670 |
| FEI/EIN Number | 84-5064315 |
| Address: | 2862 W Mian St, Leesburg, FL, 34748, US |
| Mail Address: | 2862 W Main St, Leesburg, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104449784 | 2020-05-18 | 2020-05-18 | 2345 GOLDEN ASTER ST, CLERMONT, FL, 347116359, US | 2345 GOLDEN ASTER ST, CLERMONT, FL, 347116359, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 407-421-7324 |
Authorized person
| Name | JENNIFER DICKENS |
| Role | OWNER |
| Phone | 4074217324 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DICKENS JENNIFER | Agent | 2345 GOLDEN ASTER ST, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| DICKENS JENNIFER D | Manager | 2345 GOLDEN ASTER ST, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| Salters Tyrone D | Auth | 9907 8th St, Gotha, FL, 34734 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000030173 | MIRRAH LABS | ACTIVE | 2023-03-06 | 2028-12-31 | No data | 2345 GOLDEN ASTER ST, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-27 | 2862 W Mian St, Leesburg, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-27 | 2862 W Mian St, Leesburg, FL 34748 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-27 | DICKENS, JENNIFER | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-01-05 |
| Florida Limited Liability | 2020-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
