| Entity Name: | FIVE STAR PROFESSIONAL HOME CARE STAFFING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jun 2020 (5 years ago) |
| Document Number: | L20000152521 |
| FEI/EIN Number | 85-1281623 |
| Address: | 4131 University Ave S Bldg 12, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4131 University Ave S Bldg 12, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780353615 | 2021-09-13 | 2023-11-29 | 6034 CHESTER AVE STE 105, JACKSONVILLE, FL, 322172237, US | 6034 CHESTER AVE STE 105, JACKSONVILLE, FL, 322172237, US | |||||||||||||
|
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| Phone | +1 904-673-8416 |
Authorized person
| Name | MELONIE D MILLER |
| Role | OWNER |
| Phone | 9046738416 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER MELONIE D | Agent | 7218 Oxfordshire Ave, JACKSONVILLE, FL, 32219 |
| Name | Role | Address |
|---|---|---|
| MILLER MELONIE D | Manager | 7218 OXFORDSHIRE AVE, JACKSONVILLE, FL, 32219 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-30 | 4131 University Ave S Bldg 12, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-30 | 4131 University Ave S Bldg 12, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-01 | 7218 Oxfordshire Ave, JACKSONVILLE, FL 32219 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-06-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
