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K.C. HOME HEALTH LLC - Florida Company Profile

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Company Details

Entity Name: K.C. HOME HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Jul 2020 (5 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: L20000222689
FEI/EIN Number 852179566
Address: 6635 S FLORIDA AVE, C-1, LAKELAND, FL, 33813, US
Mail Address: 6635 S FLORIDA AVE, C-1, LAKELAND, FL, 33813, US
ZIP code: 33813
City: Lakeland
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
OCAMPO LUIS A Manager 6635 S FLORIDA AVE C-1, LAKELAND, FL, 33813
CRUZ KARLA Manager 6635 S FLORIDA AVE, LAKELAND, FL, 33813
OCAMPO LUIS A Agent 6635 S FLORIDA AVE, LAKELAND, FL, 33813

National Provider Identifier

NPI Number:
1285243105
Certification Date:
2020-07-27

Authorized Person:

Name:
BERNARD O SPOONER
Role:
NURSE CONSULTANT
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000106067 K.C. NURSE REGISTRY ACTIVE 2020-08-18 2025-12-31 - 6635 S FLORIDA AVE, C-1, LAKELAND, FL, 33813

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REINSTATEMENT 2021-09-27 - -
REGISTERED AGENT NAME CHANGED 2021-09-27 OCAMPO, LUIS A -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
LC AMENDMENT 2020-12-21 - -

Documents

Name Date
ANNUAL REPORT 2022-04-09
REINSTATEMENT 2021-09-27
LC Amendment 2020-12-21
Florida Limited Liability 2020-07-27

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Date of last update: 03 Aug 2025

Sources: Florida Department of State