| 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 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year 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 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285243105 | 2020-07-27 | 2020-07-27 | 6635 S FLORIDA AVE # C-1, LAKELAND, FL, 338133354, US | 6635 S FLORIDA AVE # C-1, LAKELAND, FL, 338133354, US | |||||||||||||
|
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| Phone | +1 813-525-3878 |
Authorized person
| Name | BERNARD O SPOONER |
| Role | NURSE CONSULTANT |
| Phone | 8139927867 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OCAMPO LUIS A | Agent | 6635 S FLORIDA AVE, LAKELAND, FL, 33813 |
| 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 |
| 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 | No data | 6635 S FLORIDA AVE, C-1, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2021-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-27 | OCAMPO, LUIS A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2020-12-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-09 |
| REINSTATEMENT | 2021-09-27 |
| LC Amendment | 2020-12-21 |
| Florida Limited Liability | 2020-07-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
