| Entity Name: | CHC OF OCALA, 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: | L20000238797 |
| FEI/EIN Number | 85-3773886 |
| Mail Address: | 4655 Salisbury Rd, Suite 110, JACKSONVILLE, FL 32256 |
| Address: | 2815 SE 17th ST, Ste 101, OCALA, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285236968 | 2020-11-09 | 2023-12-27 | 4655 SALISBURY RD STE 110, JACKSONVILLE, FL, 322560957, US | 2815 SE 17TH ST STE 101, OCALA, FL, 344715516, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-733-1003 |
| Phone | +1 352-435-0401 |
| Fax | 3524350303 |
Authorized person
| Name | MR. ROBERT GREGORY YOUNG |
| Role | SECRETARY & CAO |
| Phone | 9047331003 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D22196688 |
| State | FL |
| Issuer | AHCA |
| Number | 299995202 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YOUNG, ROBERT G | Agent | 4655 Salisbury Rd, Suite 110, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Rucker, David Christoper | Chief Executive Officer | 4655 Salisbury Road 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 |
| Name | Role | Address |
|---|---|---|
| CONGIERGE HOME CARE OF OCALA HOLDINGS, LLC | Managing Member | 4655 Salisbury Rd, Suite 110 Jacksonville, FL 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000164099 | CONCIERGE HOME CARE | ACTIVE | 2021-12-10 | 2026-12-31 | No data | 4655 SALISBURY ROAD, SUITE 110, JACKSONVILLE, FL, 32256 |
| G20000149461 | 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 PRINCIPAL ADDRESS | 2023-02-08 | 2815 SE 17th ST, Ste 101, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-22 | 2815 SE 17th ST, Ste 101, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-22 | 4655 Salisbury Rd, Suite 110, JACKSONVILLE, FL 32256 | No data |
| LC AMENDMENT | 2020-11-18 | No data | No data |
| LC NAME CHANGE | 2020-11-06 | CHC OF OCALA, LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-13 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-22 |
| LC Amendment | 2020-11-18 |
| LC Name Change | 2020-11-06 |
| Florida Limited Liability | 2020-08-17 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
