| Entity Name: | CHC OF GAINESVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Aug 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Nov 2020 (4 years ago) |
| Document Number: | L20000238594 |
| FEI/EIN Number | 85-3773577 |
| Mail Address: | 4655 Salisbury Rd., Suite 110, JACKSONVILLE, FL 32256 |
| Address: | 4140 NW 37TH PLACE, SUITE B, GAINESVILLE, FL 32606 |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629670310 | 2020-11-09 | 2023-12-27 | 4655 SALISBURY RD STE 110, JACKSONVILLE, FL, 322560957, US | 4140 NW 37TH PL STE B, GAINESVILLE, FL, 326068153, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-733-1003 |
| Fax | 9044488855 |
| Phone | +1 352-435-0101 |
| Fax | 3524350303 |
Authorized person
| Name | MR. ROBERT GREGORY YOUNG |
| Role | SECRETARY |
| Phone | 9047331003 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D2219726 |
| State | FL |
| Issuer | AHCA |
| Number | 299995198 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YOUNG, ROBERT G | Agent | 4655 Salisbury Rd., Suite 110, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Concierge Home Care of Gainesville Holdings, LLC | Member | 4655 Salisbury Rd., Suite 110, Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| RUCKER, DAVID CHRISTOPHER | Chief Executive Officer | 4655 Salisbury Rd., Suite 110, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| FISHER, JEFFREY L | President | 4655 Salisbury Rd., Suite 110, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| YOUNG, ROBERT GREG | Secretary | 4655 Salisbury Rd., Suite 110, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Young, Robert Greg | Chief Financial Officer | 4655 Salisbury Rd., Suite 110, JACKSONVILLE, FL 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000164097 | CONCIERGE HOME CARE | ACTIVE | 2021-12-10 | 2026-12-31 | No data | 4655 SALISBURY ROAD, SUITE 110, JACKSONVILLE, FL, 32256 |
| G20000149462 | CONCIERGE HOME CARE | ACTIVE | 2020-11-21 | 2025-12-31 | No data | 4655 SALISBURY ROAD, SUITE 110, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-22 | 4140 NW 37TH PLACE, SUITE B, GAINESVILLE, FL 32606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-22 | 4655 Salisbury Rd., Suite 110, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-23 | 4140 NW 37TH PLACE, SUITE B, GAINESVILLE, FL 32606 | No data |
| LC AMENDMENT | 2020-11-18 | No data | No data |
| LC STMNT CORR/NC | 2020-11-06 | CHC OF GAINESVILLE, LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-13 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-22 |
| LC Amendment | 2020-11-18 |
| CORLCSTCNC | 2020-11-06 |
| Florida Limited Liability | 2020-08-17 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
